Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $316.23	Facility		$218.78	$218.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $239.88	Professional		$81.28	$100.00	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $436.52	Facility		$123.03	$245.47	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $125.89	Professional		$123.03	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $257.04 / $478.63	Facility		$95.50	$257.04	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $223.87	Professional		$63.10	$91.20	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $181.97	Facility		$123.03	$123.03	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $151.36	Professional		$123.03	$128.82	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Professional		$89.13	$89.13	$104.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $436.52	Facility		$181.97	$245.47	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Professional		$104.71	$104.71	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $169.82	Professional		$123.03	$123.03	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $151.36	Professional		$51.29	$63.10	$151.36