Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,388.44	Facility		$2,344.23	$2,344.23	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,570.40	Professional		$870.96	$1,230.27	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $4,677.35	Facility		$1,318.26	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,412.54	Professional		$1,122.02	$1,318.26	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,691.53 / $5,128.61	Facility		$1,023.29	$2,691.53	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,862.09	Professional		$1,230.27	$1,513.56	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,344.23	Facility		$1,318.26	$1,318.26	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,548.82	Professional		$1,258.93	$1,380.38	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $4,677.35	Facility		$1,949.84	$2,454.71	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,380.38	Professional		$1,122.02	$1,122.02	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,548.82	Professional		$549.54	$549.54	$1,548.82