Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $218.78	Professional		$56.23	$123.03	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $162.18	Facility		$104.71	$104.71	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $144.54	Professional		$123.03	$138.04	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $173.78	Professional		$83.18	$120.23	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $173.78	Facility		$74.13	$109.65	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $199.53	Professional		$74.13	$128.82	$199.53
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 Facility Modifier Low / Median / High Price $104.71 / $104.71 / $158.49	Facility		$104.71	$104.71	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $134.90	Professional		$67.61	$67.61	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $134.90	Professional		$70.79	$97.72	$134.90