Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $117.49	Professional		$48.98	$75.86	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $154.88	Professional		$117.49	$138.04	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $181.97	Facility		$87.10	$128.82	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $251.19	Professional		$141.25	$218.78	$251.19
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 $114.82 / $144.54 / $177.83	Professional		$114.82	$144.54	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $123.03	Professional		$114.82	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $125.89	Professional		$91.20	$125.89	$125.89