Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $416.87 / $616.60	Facility		$165.96	$416.87	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $177.83	Professional		$61.66	$75.86	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $323.59	Facility		$91.20	$169.82	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $190.55 / $354.81	Facility		$70.79	$190.55	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $169.82	Professional		$69.18	$81.28	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $416.87	Facility		$91.20	$93.33	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $114.82	Professional		$87.10	$95.50	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $331.13	Facility		$138.04	$186.21	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $131.83	Professional		$91.20	$91.20	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $125.89	Professional		$38.90	$52.48	$125.89