Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $366.49 / $3,232.82	Facility		$168.31	$366.49	$3,232.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,110.50 / $2,110.50 / $2,110.50	Facility	50	$2,110.50	$2,110.50	$2,110.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $172.90 / $495.16	Professional		$63.60	$172.90	$495.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $166.68 / $606.12	Professional	50	$166.68	$166.68	$606.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $186.81 / $401.69	Professional		$89.67	$186.81	$401.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.35 / $1,149.35 / $1,722.85	Professional		$1,149.35	$1,149.35	$1,722.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $221.39 / $524.87	Facility		$100.23	$221.39	$524.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $357.59 / $433.44	Professional		$108.34	$357.59	$433.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.00 / $386.76	Professional		$32.34	$152.00	$386.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $161.41 / $487.48	Professional		$133.97	$161.41	$487.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $298.56 / $460.29	Professional		$223.92	$298.56	$460.29