Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $13,489.63	Facility		$25.70	$42.66	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $39.81	Professional		$25.12	$25.70	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $31.62 / $64.57	Facility		$25.70	$31.62	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $63.10	Professional		$28.18	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $25.70	Facility		$20.42	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.84 / $38.02	Facility		$25.70	$28.84	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $38.90	Professional		$25.12	$27.54	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.20	Professional		$16.98	$19.95	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $74.13	Facility		$26.30	$31.62	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $30.90	Professional		$25.70	$30.90	$30.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $26.30	Professional		$25.70	$25.70	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Professional		$25.70	$25.70	$27.54