Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $75.86	Professional		$20.89	$33.88	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $186.21 / $309.03	Facility		$53.70	$186.21	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $79.43	Professional		$47.86	$56.23	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $501.19	Facility		$109.65	$275.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $58.88	Professional		$28.18	$44.67	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $44.67 / $75.86	Facility		$28.18	$44.67	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $72.44	Professional		$30.90	$53.70	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $23.99 / $33.11	Professional		$6.17	$23.99	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $316.23	Facility		$158.49	$239.88	$316.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $75.86	Professional		$44.67	$63.10	$75.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $75.86	Professional		$28.18	$29.51	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $61.66	Professional		$28.84	$33.11	$61.66