Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $562.34	Professional		$30.20	$50.12	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $562.34	Professional		$407.38	$549.54	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $660.69	Professional		$398.11	$478.63	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $562.34 / $5,128.61	Facility		$89.13	$562.34	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $512.86 / $794.33	Professional		$40.74	$512.86	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $131.83	Professional		$30.20	$30.20	$131.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $630.96	Professional		$457.09	$524.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13