Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Professional		$57.54	$57.54	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $501.19	Facility		$147.91	$257.04	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $562.34	Professional		$218.78	$218.78	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $60.26 / $138.04	Facility		$58.88	$60.26	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $100.00	Professional		$57.54	$57.54	$100.00
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 $251.19 / $363.08 / $501.19	Facility		$251.19	$363.08	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $575.44	Professional		$218.78	$346.74	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28