Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $316.23	Facility		$218.78	$263.03	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $162.18	Facility		$151.36	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $288.40	Facility		$162.18	$204.17	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $251.19	Professional		$162.18	$218.78	$251.19
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 Professional Modifier Low / Median / High Price $125.89 / $151.36 / $151.36	Professional		$125.89	$151.36	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $125.89	Professional		$114.82	$117.49	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $371.54	Professional		$125.89	$125.89	$371.54