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 $112.20 / $112.20 / $141.25	Professional		$112.20	$112.20	$141.25
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 $107.15 / $112.20 / $112.20	Facility		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $281.84	Facility		$112.20	$141.25	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $251.19	Professional		$141.25	$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 / $123.03	Professional		$114.82	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $812.83	Professional		$125.89	$125.89	$812.83