Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $52.48	Professional		$38.02	$38.02	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $38.90 / $66.07	Facility		$27.54	$38.90	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.90 / $38.90	Facility		$36.31	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $44.67 / $100.00	Facility		$21.88	$44.67	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $218.78 / $251.19	Professional		$47.86	$218.78	$251.19
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 Professional Modifier Low / Median / High Price $125.89 / $151.36 / $151.36	Professional		$125.89	$151.36	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $117.49 / $123.03	Professional		$43.65	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $125.89	Professional		$61.66	$100.00	$125.89