Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $338.84	Professional		$89.13	$151.36	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Facility		$165.96	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $269.15	Professional		$165.96	$199.53	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $234.42	Professional		$97.72	$158.49	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $144.54 / $245.47	Facility		$87.10	$144.54	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $275.42	Professional		$100.00	$169.82	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $257.04	Professional		$30.20	$30.20	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Facility		$165.96	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $234.42	Professional		$128.82	$173.78	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $213.80	Professional		$97.72	$134.90	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $234.42	Professional		$104.71	$158.49	$234.42