Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $61.66	Facility		$48.98	$48.98	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $83.18	Professional		$47.86	$57.54	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $123.03	Professional		$93.33	$114.82	$123.03
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 $51.29 / $83.18 / $120.23	Facility		$51.29	$83.18	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $128.82	Professional		$56.23	$95.50	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $120.23	Professional		$30.20	$30.20	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $120.23	Professional		$74.13	$89.13	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $104.71	Professional		$53.70	$61.66	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $117.49	Professional		$58.88	$85.11	$117.49