Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $169.82	Facility		$50.12	$50.12	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $50.12	Professional		$41.69	$43.65	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $104.71 / $158.49	Facility		$33.11	$104.71	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $112.20	Facility		$44.67	$54.95	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $43.65 / $44.67	Professional		$42.66	$43.65	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $43.65	Professional		$30.20	$30.20	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $63.10	Professional		$47.86	$50.12	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79