Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $316.23 / $2,818.38	Facility		$58.88	$316.23	$2,818.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $512.86 / $512.86	Facility	50	$467.74	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $213.80	Professional		$37.15	$75.86	$213.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $154.88 / $407.38	Professional	50	$91.20	$154.88	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $302.00 / $776.25	Facility		$114.82	$302.00	$776.25
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $446.68 / $1,148.15	Facility	50	$204.17	$446.68	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $109.65	Professional		$61.66	$77.62	$109.65
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $154.88 / $165.96	Professional	50	$102.33	$154.88	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $89.13	Professional		$42.66	$63.10	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $331.13	Facility		$41.69	$81.28	$331.13
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	50	$512.86	$512.86	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $128.82	Professional		$51.29	$79.43	$128.82
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $151.36 / $323.59	Professional	50	$104.71	$151.36	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $954.99	Facility		$537.03	$660.69	$954.99
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $1,096.48 / $1,412.54	Facility	50	$794.33	$1,096.48	$1,412.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $112.20	Professional		$50.12	$75.86	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $281.84	Professional		$48.98	$61.66	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $102.33	Professional		$42.66	$66.07	$102.33