Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $51.29 / $66.07	Facility		$24.55	$51.29	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $43.65	Professional		$20.89	$25.12	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.38	Professional		$16.98	$16.98	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $43.65	Professional		$25.12	$41.69	$43.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $52.48 / $74.13	Professional		$22.91	$52.48	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.23 / $21.88	Professional		$6.17	$10.23	$21.88