Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $354.81	Facility		$245.47	$245.47	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $269.15	Professional		$74.13	$109.65	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $489.78	Facility		$138.04	$275.42	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $141.25	Professional		$138.04	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $281.84 / $537.03	Facility		$107.15	$281.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $229.09	Professional		$57.54	$102.33	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $204.17	Facility		$138.04	$141.25	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $169.82	Professional		$138.04	$144.54	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $117.49	Professional		$100.00	$100.00	$117.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $489.78	Facility		$204.17	$275.42	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $144.54	Professional		$117.49	$117.49	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $138.04	Professional		$57.54	$57.54	$138.04