Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $173.78	Professional		$54.95	$79.43	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $316.23	Facility		$123.03	$218.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $181.97	Professional		$131.83	$154.88	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $501.19	Facility		$109.65	$275.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $213.80	Professional		$72.44	$128.82	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $346.74	Professional		$309.03	$309.03	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $181.97	Facility		$74.13	$104.71	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $194.98	Professional		$97.72	$158.49	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $54.95	Professional		$24.55	$33.11	$54.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $331.13	Facility		$181.97	$239.88	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $181.97	Professional		$117.49	$158.49	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $181.97	Professional		$81.28	$81.28	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $158.49	Professional		$77.62	$85.11	$158.49