Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $208.93	Facility		$41.69	$70.79	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $234.42	Professional		$21.88	$33.88	$234.42
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $120.23 / $204.17 / $204.17	Professional	CQ	$120.23	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $87.10	Facility		$46.77	$58.88	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $75.86	Professional		$40.74	$70.79	$75.86
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 $34.67 / $35.48 / $56.23	Professional		$34.67	$35.48	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $81.28	Facility		$28.84	$38.90	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $74.13	Professional		$33.88	$61.66	$74.13
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $120.23 / $120.23 / $204.17	Professional	CQ	$120.23	$120.23	$204.17
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 $54.95 / $54.95 / $81.28	Facility		$54.95	$54.95	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $53.70	Professional		$36.31	$39.81	$53.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $35.48 / $91.20	Professional		$34.67	$35.48	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $43.65	Professional		$33.88	$39.81	$43.65