Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $251.19	Professional		$30.20	$50.12	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $208.93	Professional		$151.36	$204.17	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $245.47	Professional		$151.36	$181.97	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $251.19 / $5,128.61	Facility		$89.13	$251.19	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $234.42 / $354.81	Professional		$41.69	$234.42	$354.81
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 $204.17 / $229.09 / $281.84	Professional		$204.17	$229.09	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13