Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $87.10	Facility		$53.70	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $74.13	Professional		$52.48	$53.70	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $87.10	Facility		$54.95	$60.26	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $64.57	Professional		$51.29	$58.88	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $53.70	Facility		$50.12	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $56.23 / $74.13	Facility		$53.70	$56.23	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $66.07	Professional		$52.48	$56.23	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $43.65	Professional		$30.20	$37.15	$43.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $125.89	Facility		$52.48	$64.57	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $66.07	Professional		$54.95	$63.10	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $54.95	Professional		$53.70	$53.70	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Professional		$53.70	$53.70	$56.23