Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $97.72	Professional		$57.54	$79.43	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $436.52	Facility		$158.49	$257.04	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $83.18 / $134.90	Facility		$81.28	$83.18	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $91.20	Professional		$57.54	$79.43	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $467.74	Facility		$257.04	$371.54	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $380.19	Professional		$234.42	$338.84	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33