Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $169.82	Facility		$51.29	$95.50	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $89.13	Professional		$51.29	$51.29	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $128.82	Facility		$51.29	$52.48	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $52.48	Professional		$51.29	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $93.33	Professional		$23.99	$40.74	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $162.18	Facility		$51.29	$52.48	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $77.62	Professional		$51.29	$53.70	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $186.21	Facility		$77.62	$95.50	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $53.70	Professional		$43.65	$43.65	$53.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $79.43	Professional		$69.18	$72.44	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29