Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $4,365.16 / $6,025.60	Facility		$57.54	$4,365.16	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $70.79	Professional		$57.54	$61.66	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $93.33	Facility		$57.54	$64.57	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $93.33	Professional		$57.54	$66.07	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Facility		$53.70	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $63.10 / $70.79	Facility		$57.54	$63.10	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Professional		$57.54	$57.54	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $107.15	Facility		$57.54	$57.54	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18