Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $478.63	Professional		$316.23	$316.23	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,778.28	Facility		$575.44	$1,122.02	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,348.96	Professional		$575.44	$575.44	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,230.27	Facility		$501.19	$1,047.13	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $707.95	Facility		$316.23	$398.11	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $602.56	Professional		$251.19	$316.23	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $134.90 / $162.18	Professional		$30.20	$134.90	$162.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,288.25	Facility		$691.83	$1,000.00	$1,288.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,174.90	Professional		$380.19	$758.58	$1,174.90