Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $173.78	Professional		$89.13	$107.15	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $75.86 / $134.90	Facility		$34.67	$75.86	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $60.26	Professional		$51.29	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $173.78	Professional		$112.20	$151.36	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $251.19	Facility		$74.13	$138.04	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $208.93	Professional		$83.18	$107.15	$208.93
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 $120.23 / $173.78 / $186.21	Professional		$120.23	$173.78	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $173.78	Professional		$33.88	$57.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $165.96	Professional		$89.13	$97.72	$165.96