Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $102.33	Professional		$26.92	$58.88	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $165.96	Professional		$52.48	$100.00	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $138.04	Professional		$28.18	$61.66	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $77.62 / $138.04	Facility		$31.62	$77.62	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $194.98	Professional		$42.66	$79.43	$194.98
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 $42.66 / $93.33 / $128.82	Professional		$42.66	$93.33	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $134.90	Professional		$30.90	$83.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $120.23	Professional		$30.20	$57.54	$120.23