Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $54.95	Facility		$42.66	$51.29	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $30.90	Professional		$16.98	$25.70	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $107.15	Facility		$75.86	$97.72	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $33.88	Professional		$25.12	$30.90	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $38.90	Professional		$20.42	$29.51	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.84 / $37.15	Facility		$17.38	$28.84	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $43.65	Professional		$28.18	$33.88	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $50.12	Professional		$27.54	$37.15	$50.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $36.31	Professional		$19.95	$21.38	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $37.15	Professional		$21.38	$28.18	$37.15