Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $436.52	Facility		$363.08	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $398.11	Professional		$109.65	$162.18	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $389.05 / $724.44	Facility		$204.17	$389.05	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $416.87 / $794.33	Facility		$158.49	$416.87	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $338.84	Professional		$85.11	$151.36	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $302.00	Facility		$204.17	$204.17	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $251.19	Professional		$204.17	$213.80	$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 / $407.38 / $724.44	Facility		$302.00	$407.38	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $213.80	Professional		$173.78	$173.78	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $281.84	Professional		$204.17	$204.17	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $204.17	Professional		$85.11	$85.11	$204.17