Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $141.25 / $245.47	Facility		$69.18	$141.25	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $79.43	Professional		$23.99	$45.71	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $102.33 / $177.83	Facility		$52.48	$102.33	$177.83
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 / $56.23 / $186.21	Facility		$35.48	$56.23	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $67.61	Professional		$35.48	$41.69	$67.61
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 $48.98 / $54.95 / $154.88	Professional		$48.98	$54.95	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $57.54	Professional		$20.89	$29.51	$57.54