Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $125.89	Facility		$87.10	$87.10	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $93.33	Professional		$23.99	$38.90	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $186.21	Facility		$54.95	$109.65	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $48.98 / $48.98	Professional		$47.86	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $100.00 / $186.21	Facility		$38.02	$100.00	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $79.43	Professional		$21.38	$36.31	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $54.95 / $77.62	Facility		$47.86	$54.95	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $61.66	Professional		$45.71	$50.12	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Professional		$35.48	$35.48	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $173.78	Facility		$72.44	$95.50	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Professional		$40.74	$40.74	$50.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $77.62	Professional		$47.86	$47.86	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $57.54	Professional		$20.42	$20.89	$57.54