Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $120.23 / $288.40	Professional		$15.14	$120.23	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $295.12	Facility		$147.91	$147.91	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $245.47	Professional		$147.91	$177.83	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Professional		$107.15	$107.15	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $154.88	Professional		$125.89	$125.89	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $323.59	Professional		$147.91	$147.91	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $204.17	Professional		$89.13	$125.89	$204.17