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 $489.78 / $489.78 / $602.56	Professional		$489.78	$489.78	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $489.78 / $489.78	Facility		$457.09	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $537.03 / $870.96	Facility		$302.00	$537.03	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $331.13	Professional		$165.96	$223.87	$331.13
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 / $123.03	Professional		$114.82	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $977.24	Professional		$125.89	$125.89	$977.24