Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $91.20	Facility		$54.95	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $77.62	Professional		$54.95	$56.23	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $61.66 / $87.10	Facility		$54.95	$61.66	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $74.13	Professional		$56.23	$61.66	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.95 / $54.95	Facility		$50.12	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $61.66 / $77.62	Facility		$54.95	$61.66	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $72.44	Professional		$54.95	$58.88	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $61.66	Professional		$30.20	$52.48	$61.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $77.62 / $154.88	Facility		$54.95	$77.62	$154.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $69.18	Professional		$54.95	$61.66	$69.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Professional		$56.23	$56.23	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Professional		$54.95	$54.95	$58.88