Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Facility		$87.10	$87.10	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $50.12	Professional		$44.67	$44.67	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $162.18	Facility		$45.71	$85.11	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $45.71	Professional		$38.90	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $64.57	Professional		$20.89	$42.66	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $58.88	Facility		$45.71	$45.71	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $47.86 / $54.95	Professional		$44.67	$47.86	$54.95
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 Facility Modifier Low / Median / High Price $67.61 / $85.11 / $162.18	Facility		$67.61	$85.11	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $47.86	Professional		$38.90	$38.90	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $45.71	Professional		$26.92	$26.92	$45.71