Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Facility		$181.97	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $213.80	Professional		$53.70	$77.62	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $199.53	Professional		$144.54	$169.82	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $93.33	Professional		$67.61	$79.43	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $138.04 / $177.83	Facility		$56.23	$138.04	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $173.78	Professional		$112.20	$141.25	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $169.82	Professional		$141.25	$151.36	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $204.17	Professional		$75.86	$120.23	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $123.03	Professional		$47.86	$61.66	$123.03