Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $75.86	Professional		$22.91	$34.67	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $87.10	Professional		$74.13	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $229.09	Professional		$41.69	$41.69	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Professional		$812.83	$870.96	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $87.10 / $128.82	Professional		$33.88	$87.10	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $77.62	Professional		$30.20	$32.36	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $72.44	Professional		$50.12	$66.07	$72.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $85.11	Professional		$39.81	$41.69	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $117.49	Professional		$35.48	$57.54	$117.49