Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $79.43 / $380.19	Facility		$38.02	$79.43	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $331.13	Professional		$120.23	$154.88	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $234.42	Facility		$48.98	$93.33	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $354.81 / $602.56	Facility		$151.36	$354.81	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $302.00	Professional		$134.90	$229.09	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $269.15	Professional		$169.82	$169.82	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $389.05	Facility		$79.43	$162.18	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $363.08	Professional		$107.15	$165.96	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $251.19	Facility		$165.96	$165.96	$251.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $338.84	Professional		$218.78	$302.00	$338.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $154.88 / $181.97	Professional		$54.95	$154.88	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $309.03	Professional		$134.90	$190.55	$309.03