Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $87.10	Facility		$52.48	$61.66	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $51.29	Professional		$28.84	$37.15	$51.29
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	22	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.50 / $21.38 / $56.23	Professional	52	$19.50	$21.38	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $60.26	Professional		$43.65	$50.12	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $63.10	Professional		$26.92	$43.65	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $63.10	Facility		$30.90	$41.69	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $64.57	Professional		$30.20	$42.66	$64.57
Moda Health Facility/Professional Professional Modifier 52 Low / Median / High Price $19.50 / $21.38 / $56.23	Professional	52	$19.50	$21.38	$56.23
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 $33.11 / $46.77 / $64.57	Professional		$33.11	$46.77	$64.57
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $60.26	Professional		$29.51	$39.81	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $60.26	Professional		$29.51	$42.66	$60.26