Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $446.68	Facility		$204.17	$331.13	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $363.08	Professional		$100.00	$151.36	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $676.08	Facility		$186.21	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $190.55	Professional		$186.21	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $389.05 / $724.44	Facility		$144.54	$389.05	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $316.23	Professional		$81.28	$138.04	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $331.13	Facility		$186.21	$190.55	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $229.09	Professional		$186.21	$194.98	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Professional		$134.90	$134.90	$158.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $660.69	Facility		$275.42	$371.54	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $186.21	Professional		$77.62	$77.62	$186.21