Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Facility		$120.23	$120.23	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $213.80	Professional		$81.28	$100.00	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $204.17	Professional		$112.20	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $177.83	Professional		$67.61	$117.49	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $165.96	Facility		$83.18	$102.33	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $190.55	Professional		$83.18	$120.23	$190.55
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 $81.28 / $112.20 / $165.96	Professional		$81.28	$112.20	$165.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $162.18	Professional		$85.11	$104.71	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $162.18	Professional		$75.86	$107.15	$162.18