Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $53.70	Professional		$51.29	$52.48	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $194.98 / $416.87	Facility		$46.77	$194.98	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $154.88	Professional		$53.70	$120.23	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$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 $28.84 / $54.95 / $77.62	Facility		$28.84	$54.95	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $53.70	Professional		$45.71	$45.71	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $446.68	Facility		$194.98	$281.84	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $194.98	Professional		$120.23	$173.78	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Professional		$52.48	$52.48	$74.13