Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $257.04	Professional		$61.66	$100.00	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $251.19	Facility		$177.83	$177.83	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $147.91	Professional		$112.20	$138.04	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $177.83	Professional		$85.11	$120.23	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $151.36	Facility		$63.10	$93.33	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $190.55	Professional		$72.44	$114.82	$190.55
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 Professional Modifier Low / Median / High Price $100.00 / $114.82 / $144.54	Professional		$100.00	$114.82	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $131.83	Professional		$60.26	$61.66	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $131.83	Professional		$70.79	$95.50	$131.83