Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $162.18	Facility		$93.33	$158.49	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $251.19	Professional		$51.29	$93.33	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $194.98 / $288.40	Facility		$33.11	$194.98	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $138.04	Professional		$95.50	$112.20	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $165.96	Professional		$58.88	$93.33	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $239.88	Professional		$169.82	$239.88	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $151.36	Facility		$56.23	$89.13	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $151.36	Professional		$67.61	$112.20	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $46.77	Professional		$15.85	$33.11	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $128.82	Professional		$83.18	$123.03	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $131.83	Professional		$56.23	$57.54	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $138.04	Professional		$64.57	$72.44	$138.04