Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.18	Professional		$15.85	$19.05	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $181.97 / $338.84	Facility		$63.10	$181.97	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $37.15	Professional		$28.84	$33.88	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $102.33	Professional		$18.62	$22.91	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.90 / $177.83	Facility		$20.42	$38.90	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $52.48	Professional		$30.90	$32.36	$52.48
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 $30.90 / $33.11 / $37.15	Professional		$30.90	$33.11	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $134.90	Professional		$16.98	$16.98	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $85.11 / $194.98	Professional		$18.62	$85.11	$194.98