Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $109.65	Professional		$37.15	$50.12	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $138.04	Professional		$83.18	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $104.71	Professional		$47.86	$79.43	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $125.89	Professional		$57.54	$107.15	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $32.36 / $35.48	Professional		$8.71	$32.36	$35.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $125.89	Professional		$75.86	$104.71	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $125.89	Professional		$52.48	$53.70	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $112.20	Professional		$50.12	$56.23	$112.20