Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $131.83	Facility		$58.88	$70.79	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $109.65	Professional		$40.74	$70.79	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $162.18	Professional		$66.07	$102.33	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $144.54	Professional		$54.95	$85.11	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $112.20	Facility		$40.74	$74.13	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $144.54	Professional		$41.69	$75.86	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $158.49	Professional		$57.54	$83.18	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $112.20	Professional		$38.90	$77.62	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $125.89	Professional		$46.77	$81.28	$125.89