Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Facility		$616.60	$977.24	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $512.86	Professional		$158.49	$245.47	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $954.99	Facility		$338.84	$467.74	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $269.15	Professional		$263.03	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $549.54 / $1,023.29	Facility		$204.17	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $436.52	Professional		$123.03	$194.98	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $1,023.29	Facility		$263.03	$269.15	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $331.13	Professional		$263.03	$275.42	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $954.99	Facility		$398.11	$524.81	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $288.40	Professional		$109.65	$123.03	$288.40