Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $416.87 / $5,495.41	Facility		$109.65	$416.87	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	50	$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $186.21 / $398.11	Professional		$63.10	$186.21	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $275.42 / $977.24	Professional	50	$194.98	$275.42	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $457.09 / $676.08	Facility		$223.87	$457.09	$676.08
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $691.83 / $1,023.29	Facility	50	$338.84	$691.83	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $331.13 / $436.52	Professional		$114.82	$331.13	$436.52
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $524.81 / $660.69	Professional	50	$186.21	$524.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $218.78 / $436.52	Professional		$83.18	$218.78	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $1,737.80	Professional		$1,148.15	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $229.09 / $524.81	Facility		$69.18	$229.09	$524.81
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	50	$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $512.86	Professional		$87.10	$190.55	$512.86
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $275.42 / $977.24	Professional	50	$194.98	$275.42	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $165.96	Professional		$32.36	$95.50	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $489.78	Professional		$112.20	$165.96	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $426.58	Professional		$104.71	$213.80	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $190.55 / $407.38	Professional		$72.44	$190.55	$407.38