Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $338.84 / $758.58	Facility		$147.91	$338.84	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $302.00	Professional		$257.04	$269.15	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $138.04	Facility		$83.18	$109.65	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $363.08	Professional		$109.65	$194.98	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $331.13 / $758.58	Facility		$147.91	$331.13	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $275.42	Professional		$257.04	$269.15	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $263.03	Professional		$30.20	$30.20	$263.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $380.19	Professional		$288.40	$302.00	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $302.00 / $302.00	Professional		$72.44	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Professional		$269.15	$269.15	$371.54