Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $295.12	Professional		$83.18	$131.83	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $229.09	Facility		$147.91	$147.91	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $204.17	Professional		$173.78	$190.55	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $263.03	Professional		$114.82	$173.78	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $218.78	Facility		$104.71	$165.96	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $295.12	Professional		$102.33	$173.78	$295.12
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 $147.91 / $147.91 / $218.78	Facility		$147.91	$147.91	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $186.21	Professional		$95.50	$95.50	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $208.93	Professional		$107.15	$147.91	$208.93