Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $53.70	Professional		$20.42	$28.18	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $48.98	Professional		$41.69	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $51.29	Professional		$28.84	$38.90	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $134.90	Professional		$123.03	$123.03	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $66.07	Professional		$28.84	$51.29	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $66.07	Professional		$46.77	$56.23	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $53.70	Professional		$24.55	$24.55	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $58.88	Professional		$20.42	$30.20	$58.88