Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $93.33	Professional		$57.54	$67.61	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $117.49	Professional		$102.33	$107.15	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $165.96	Professional		$64.57	$102.33	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $141.25	Facility		$63.10	$91.20	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $151.36	Professional		$70.79	$112.20	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $147.91	Professional		$85.11	$112.20	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $120.23	Professional		$61.66	$74.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $144.54	Professional		$74.13	$107.15	$144.54