Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $741.31 / $2,884.03	Facility		$69.18	$741.31	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	50	$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $144.54	Professional		$28.84	$57.54	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $524.81 / $1,047.13	Facility		$131.83	$524.81	$1,047.13
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $177.83 / $630.96 / $954.99	Facility	50	$177.83	$630.96	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $162.18	Professional		$54.95	$123.03	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $154.88	Professional		$41.69	$72.44	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Professional		$151.36	$151.36	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $77.62 / $204.17	Facility		$32.36	$77.62	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $169.82	Professional		$40.74	$70.79	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $53.70	Professional		$32.36	$33.88	$53.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,288.25	Facility		$724.44	$933.25	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	50	$1,096.48	$1,096.48	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $158.49	Professional		$48.98	$74.13	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $630.96	Professional		$50.12	$75.86	$630.96
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 $34.67 / $67.61 / $131.83	Professional		$34.67	$67.61	$131.83