Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $123.03	Facility		$74.13	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $102.33	Professional		$72.44	$74.13	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $169.82	Facility		$72.44	$104.71	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $81.28	Professional		$70.79	$70.79	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Facility		$74.13	$77.62	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $93.33	Professional		$72.44	$77.62	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $60.26	Professional		$30.20	$51.29	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $169.82	Facility		$74.13	$104.71	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $89.13	Professional		$74.13	$89.13	$89.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62