Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.13 / $283.51 / $4,500.00	Facility		$177.13	$283.51	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $103.59 / $238.25	Professional		$58.59	$103.59	$238.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.89 / $130.26 / $165.00	Professional	50	$87.89	$130.26	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $111.21 / $168.25	Professional		$77.84	$111.21	$168.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $137.99 / $250.16	Facility		$58.07	$137.99	$250.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $144.75 / $188.90	Professional		$95.54	$144.75	$188.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $135.59 / $170.59	Professional		$32.34	$135.59	$170.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $142.86 / $200.64	Professional		$110.09	$142.86	$200.64
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $147.97 / $191.81	Professional		$104.12	$147.97	$191.81