Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,897.79	Facility		$2,398.83	$3,162.28	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $3,715.35	Professional		$3,548.13	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,238.72	Facility		$2,089.30	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,238.72	Professional		$1,621.81	$1,621.81	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $3,548.13	Facility		$1,230.27	$3,235.94	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,388.44	Professional		$2,754.23	$3,235.94	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,884.03	Professional		$30.20	$30.20	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $3,235.94	Facility		$3,162.28	$3,235.94	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $3,715.35	Professional		$2,398.83	$2,454.71	$3,715.35
Select Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $3,548.13	Professional		$2,630.27	$3,388.44	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Facility		$2,041.74	$2,290.87	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $2,344.23	Professional		$1,412.54	$1,513.56	$2,344.23