Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Facility		$123.03	$123.03	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $131.83	Professional		$32.36	$54.95	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $245.47	Facility		$69.18	$128.82	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $141.25 / $269.15	Facility		$53.70	$141.25	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $112.20	Professional		$51.29	$60.26	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $102.33	Facility		$69.18	$69.18	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $85.11	Professional		$69.18	$72.44	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $245.47	Facility		$102.33	$138.04	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $72.44	Professional		$58.88	$58.88	$72.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $64.57	Professional		$25.12	$28.84	$64.57