Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $23.44	Facility		$14.13	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.89 / $34.67	Facility		$14.45	$20.89	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $15.49	Professional		$14.13	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $19.50	Facility		$14.13	$15.14	$19.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $17.78	Professional		$14.13	$15.14	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $30.20	Professional		$10.23	$12.02	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.89 / $34.67	Facility		$14.79	$20.89	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $16.98	Professional		$14.13	$16.98	$16.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Professional		$14.13	$14.13	$15.14