Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $104.71	Facility		$61.66	$61.66	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $95.50	Professional		$57.54	$67.61	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $204.17	Professional		$125.89	$147.91	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $123.03	Facility		$60.26	$79.43	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $199.53	Professional		$67.61	$117.49	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $158.49	Professional		$95.50	$117.49	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $134.90	Professional		$69.18	$104.71	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $138.04	Professional		$79.43	$102.33	$138.04