Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $45.71	Facility		$30.90	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $36.31	Professional		$28.18	$30.20	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $51.29	Facility		$25.70	$35.48	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.90 / $39.81	Facility		$16.98	$30.90	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $30.90	Professional		$28.18	$30.20	$30.90
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 Facility Modifier Low / Median / High Price $25.70 / $25.70 / $38.02	Facility		$25.70	$25.70	$38.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $58.88	Professional		$32.36	$32.36	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90