Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $162.18	Facility		$112.20	$112.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $120.23	Professional		$40.74	$57.54	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $223.87	Facility		$61.66	$117.49	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $67.61	Professional		$52.48	$61.66	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $128.82 / $239.88	Facility		$48.98	$128.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $89.13	Professional		$58.88	$70.79	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $120.23	Facility		$61.66	$61.66	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $74.13	Professional		$60.26	$64.57	$74.13
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 $93.33 / $117.49 / $223.87	Facility		$93.33	$117.49	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $64.57	Professional		$52.48	$52.48	$64.57
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $74.13	Professional		$26.30	$26.30	$74.13