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 $50.12 / $50.12 / $79.43	Professional		$50.12	$50.12	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $186.21	Facility		$69.18	$131.83	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $51.29	Facility		$47.86	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $131.83	Facility		$51.29	$63.10	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $251.19	Professional		$141.25	$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 $52.48 / $117.49 / $123.03	Professional		$52.48	$117.49	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $125.89	Professional		$95.50	$125.89	$125.89