Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $131.83	Professional		$123.03	$125.89	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $186.21	Facility		$128.82	$131.83	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $131.83	Professional		$123.03	$125.89	$131.83
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 Professional Modifier Low / Median / High Price $70.79 / $89.13 / $109.65	Professional		$70.79	$89.13	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $120.23	Professional		$6.46	$6.46	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82