Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $275.42	Facility		$72.44	$102.33	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $63.10	Professional		$52.48	$56.23	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $169.82	Facility		$54.95	$100.00	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $275.42	Facility		$67.61	$109.65	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $81.28	Professional		$54.95	$56.23	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $79.43	Professional		$60.26	$63.10	$79.43
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $75.86	Professional		$63.10	$63.10	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Professional		$56.23	$56.23	$79.43