Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,380.38	Professional		$1,122.02	$1,348.96	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,380.38 / $1,949.84	Facility		$281.84	$1,380.38	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $331.13	Professional		$165.96	$223.87	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,041.74	Professional		$1,230.27	$1,698.24	$2,041.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $123.03	Professional		$114.82	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,348.96	Professional		$125.89	$125.89	$1,348.96