Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $380.19	Professional		$302.00	$302.00	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $165.96 / $269.15	Facility		$87.10	$165.96	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $269.15	Professional		$87.10	$87.10	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $104.71 / $199.53	Facility		$39.81	$104.71	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Facility		$302.00	$302.00	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $380.19	Professional		$302.00	$302.00	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $173.78	Facility		$97.72	$138.04	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $281.84	Professional		$87.10	$138.04	$281.84