Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $50.12	Professional		$46.77	$48.98	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $109.65	Facility		$19.95	$36.31	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $109.65	Professional		$50.12	$50.12	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $50.12 / $72.44	Facility		$6.92	$50.12	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $50.12	Professional		$16.98	$23.44	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $61.66	Professional		$50.12	$50.12	$61.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $131.83	Professional		$79.43	$93.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Professional		$48.98	$48.98	$52.48