Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $263.03	Professional		$47.86	$104.71	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $199.53	Professional		$85.11	$109.65	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $177.83	Professional		$63.10	$95.50	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $213.80	Professional		$72.44	$123.03	$213.80
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 $70.79 / $109.65 / $218.78	Professional		$70.79	$109.65	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $512.86	Professional		$64.57	$97.72	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $194.98	Professional		$57.54	$104.71	$194.98