Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $141.25	Facility		$104.71	$120.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $158.49	Professional		$66.07	$85.11	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $173.78	Professional		$109.65	$147.91	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $144.54	Professional		$61.66	$91.20	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $158.49	Facility		$75.86	$97.72	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $162.18	Professional		$69.18	$93.33	$162.18
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 $93.33 / $120.23 / $169.82	Professional		$93.33	$120.23	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $141.25	Professional		$70.79	$87.10	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $151.36	Professional		$77.62	$107.15	$151.36