Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $213.80	Facility		$79.43	$162.18	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $125.89	Professional		$42.66	$53.70	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $138.04 / $229.09	Facility		$75.86	$138.04	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $134.90 / $257.04	Facility		$51.29	$134.90	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $120.23	Professional		$48.98	$57.54	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $199.53	Facility		$66.07	$66.07	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $85.11	Professional		$66.07	$69.18	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Professional		$47.86	$47.86	$56.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $234.42	Facility		$97.72	$134.90	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Professional		$54.95	$54.95	$69.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $89.13	Professional		$27.54	$37.15	$89.13