Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Facility		$363.08	$363.08	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $426.58	Professional		$134.90	$194.98	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $758.58	Facility		$251.19	$501.19	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $204.17	Professional		$199.53	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $776.25	Facility		$154.88	$416.87	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $331.13	Professional		$147.91	$173.78	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $302.00	Facility		$199.53	$204.17	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $251.19	Professional		$199.53	$208.93	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Professional		$147.91	$147.91	$173.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $724.44	Facility		$302.00	$389.05	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $281.84	Professional		$199.53	$199.53	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $199.53	Professional		$83.18	$83.18	$199.53