Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $3,548.13	Facility		$104.71	$169.82	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $1,778.28	Professional		$104.71	$109.65	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $977.24	Facility		$151.36	$338.84	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $162.18	Professional		$114.82	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $199.53	Facility		$104.71	$120.23	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $302.00	Professional		$104.71	$109.65	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $100.00 / $117.49	Professional		$30.20	$100.00	$117.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $346.74	Facility		$134.90	$204.17	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $125.89	Professional		$104.71	$125.89	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $371.54	Professional		$72.44	$72.44	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65