Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $380.19	Professional		$354.81	$371.54	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $144.54	Facility		$26.92	$39.81	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $371.54	Professional		$41.69	$41.69	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $537.03	Facility		$371.54	$380.19	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $380.19	Professional		$147.91	$363.08	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $66.07	Professional		$40.74	$46.77	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $407.38	Professional		$371.54	$407.38	$407.38