Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $134.90	Professional		$48.98	$70.79	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $151.36	Professional		$87.10	$123.03	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $131.83	Professional		$57.54	$83.18	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $147.91	Professional		$53.70	$87.10	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $128.82	Professional		$64.57	$91.20	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $5,754.40	Professional		$67.61	$89.13	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $120.23	Professional		$52.48	$81.28	$120.23