Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Facility		$4,466.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $288.40	Professional		$91.20	$181.97	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $478.63	Facility		$186.21	$338.84	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $457.09	Professional		$165.96	$229.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $398.11	Professional		$117.49	$213.80	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $602.56	Professional		$501.19	$501.19	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $398.11	Facility		$100.00	$213.80	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $457.09	Professional		$131.83	$218.78	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $501.19	Facility		$338.84	$338.84	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $426.58	Professional		$141.25	$213.80	$426.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $371.54	Professional		$125.89	$213.80	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $380.19	Professional		$102.33	$208.93	$380.19