Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $120.23 / $204.17	Facility		$60.26	$120.23	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $81.28	Professional		$23.99	$32.36	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $186.21	Facility		$52.48	$93.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $72.44 / $138.04	Facility		$27.54	$72.44	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $64.57	Professional		$21.38	$26.30	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $128.82	Facility		$35.48	$35.48	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $61.66	Professional		$35.48	$37.15	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Professional		$25.70	$25.70	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $72.44 / $125.89	Facility		$52.48	$72.44	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $37.15	Professional		$29.51	$29.51	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $77.62	Professional		$35.48	$35.48	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $57.54	Professional		$14.79	$20.89	$57.54