Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $323.59	Professional		$81.28	$87.10	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $245.47	Facility		$70.79	$151.36	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $239.88	Facility		$87.10	$109.65	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $323.59	Professional		$83.18	$85.11	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $83.18	Professional		$30.20	$30.20	$83.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $120.23	Professional		$93.33	$97.72	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Professional		$97.72	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23