Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $77.62	Facility		$53.70	$53.70	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.99 / $57.54	Professional		$10.00	$23.99	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $64.57 / $109.65	Facility		$31.62	$64.57	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $30.90	Professional		$30.20	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $63.10 / $117.49	Facility		$23.44	$63.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $48.98	Professional		$12.30	$22.39	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $44.67	Facility		$30.20	$30.90	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $37.15	Professional		$30.20	$31.62	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $107.15	Facility		$44.67	$60.26	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $31.62	Professional		$25.70	$25.70	$31.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $43.65	Professional		$30.20	$30.20	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $33.11	Professional		$12.02	$12.59	$33.11