Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $316.23	Professional		$30.20	$50.12	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $281.84	Professional		$204.17	$269.15	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $331.13	Professional		$199.53	$239.88	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $316.23 / $5,128.61	Facility		$89.13	$316.23	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $288.40 / $446.68	Professional		$41.69	$288.40	$446.68
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 $257.04 / $288.40 / $346.74	Professional		$257.04	$288.40	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13