Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Facility		$81.28	$81.28	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Professional		$41.69	$41.69	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $120.23	Facility		$63.10	$100.00	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $109.65	Professional		$35.48	$41.69	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $60.26	Professional		$19.50	$39.81	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $60.26	Facility		$41.69	$54.95	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.67 / $50.12	Professional		$41.69	$44.67	$50.12
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 $63.10 / $74.13 / $151.36	Facility		$63.10	$74.13	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $50.12	Professional		$16.60	$17.78	$50.12