Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $251.19	Facility		$89.13	$151.36	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $144.54	Professional		$44.67	$60.26	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $257.04	Facility		$74.13	$125.89	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $151.36 / $288.40	Facility		$57.54	$151.36	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $123.03	Professional		$54.95	$64.57	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $158.49	Facility		$74.13	$74.13	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $91.20	Professional		$70.79	$77.62	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $263.03	Facility		$109.65	$147.91	$263.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Professional		$61.66	$61.66	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Professional		$74.13	$74.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $83.18	Professional		$30.90	$34.67	$83.18