Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $1,122.02	Professional		$131.83	$131.83	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $141.25 / $257.04	Facility		$64.57	$141.25	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $218.78	Professional		$87.10	$87.10	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $104.71 / $199.53	Facility		$39.81	$104.71	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $190.55	Facility		$131.83	$131.83	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $371.54	Professional		$131.83	$131.83	$371.54
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 / $223.87	Professional		$87.10	$138.04	$223.87