Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $478.63	Professional		$371.54	$426.58	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,023.29 / $1,778.28	Facility		$524.81	$1,023.29	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $302.00 / $426.58 / $707.95	Facility		$302.00	$426.58	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $602.56	Professional		$251.19	$426.58	$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 $575.44 / $912.01 / $954.99	Professional		$575.44	$912.01	$954.99