Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $169.82	Professional		$67.61	$100.00	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $131.83 / $245.47	Facility		$18.62	$131.83	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $204.17	Professional		$181.97	$194.98	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $173.78	Facility		$95.50	$95.50	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $112.20	Professional		$81.28	$95.50	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $169.82	Facility		$75.86	$97.72	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $141.25	Professional		$117.49	$123.03	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $125.89 / $128.82	Professional		$12.88	$125.89	$128.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Facility		$131.83	$131.83	$165.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $181.97	Professional		$131.83	$141.25	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $52.48 / $95.50	Facility		$7.59	$52.48	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $154.88	Professional		$70.79	$91.20	$154.88