Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $154.88	Professional		$48.98	$77.62	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $162.18	Professional		$85.11	$109.65	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $131.83	Professional		$57.54	$87.10	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $169.82	Professional		$74.13	$114.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $158.49	Professional		$72.44	$104.71	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $239.88	Professional		$70.79	$83.18	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $141.25	Professional		$53.70	$87.10	$141.25