Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $26.30	Facility		$15.49	$17.78	$26.30
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $19.95 / $19.95 / $33.88	Facility	CQ	$19.95	$19.95	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $52.48	Professional		$7.94	$13.18	$52.48
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $19.05 / $26.92	Professional	CQ	$11.48	$19.05	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $39.81	Facility		$14.79	$21.88	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $28.84	Professional		$15.14	$26.92	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $100.00	Facility		$70.79	$75.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $21.38	Professional		$12.02	$13.49	$21.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.45 / $27.54	Facility		$11.22	$14.45	$27.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $28.84	Professional		$10.00	$19.05	$28.84
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $19.05 / $19.05 / $26.92	Professional	CQ	$19.05	$19.05	$26.92
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 Facility Modifier Low / Median / High Price $20.89 / $20.89 / $32.36	Facility		$20.89	$20.89	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $20.89	Professional		$13.18	$15.14	$20.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.49 / $28.18	Professional		$13.18	$13.49	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.18 / $14.79	Professional		$12.30	$13.18	$14.79