Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $109.65	Professional		$72.44	$85.11	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $34.67	Professional		$26.92	$31.62	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $138.04	Professional		$60.26	$91.20	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $131.83	Facility		$67.61	$93.33	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $112.20	Professional		$70.79	$81.28	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $162.18	Professional		$93.33	$114.82	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $158.49	Professional		$79.43	$107.15	$158.49