Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $138.04	Facility		$95.50	$95.50	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $102.33	Professional		$34.67	$48.98	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $190.55	Facility		$52.48	$97.72	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $57.54	Professional		$44.67	$52.48	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $109.65 / $204.17	Facility		$40.74	$109.65	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $95.50	Facility		$52.48	$52.48	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $63.10	Professional		$51.29	$54.95	$63.10
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 $79.43 / $97.72 / $190.55	Facility		$79.43	$97.72	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $54.95	Professional		$44.67	$44.67	$54.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $63.10	Professional		$22.39	$22.39	$63.10