Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $354.81	Professional		$109.65	$141.25	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $269.15	Professional		$199.53	$257.04	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $295.12	Professional		$114.82	$190.55	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $257.04	Facility		$112.20	$165.96	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $269.15	Professional		$120.23	$204.17	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $354.81	Professional		$181.97	$208.93	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $269.15	Professional		$112.20	$141.25	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $251.19	Professional		$134.90	$190.55	$251.19