Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $81.28	Facility		$56.23	$56.23	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $60.26	Professional		$10.00	$25.12	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $112.20	Facility		$31.62	$67.61	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $31.62	Professional		$30.90	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $64.57 / $123.03	Facility		$24.55	$64.57	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $52.48	Professional		$12.30	$22.91	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $31.62 / $46.77	Facility		$30.90	$31.62	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $38.90	Professional		$30.90	$33.11	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $26.92	Professional		$22.91	$22.91	$26.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $112.20	Facility		$46.77	$63.10	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $33.11	Professional		$26.30	$26.30	$33.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $43.65	Professional		$30.90	$30.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $33.11	Professional		$12.02	$13.18	$33.11