Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,412.54 / $5,495.41	Facility		$151.36	$1,412.54	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $758.58 / $1,047.13	Facility	50	$758.58	$758.58	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $218.78	Professional		$48.98	$87.10	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $128.82 / $436.52	Professional	50	$74.13	$128.82	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $302.00 / $1,202.26	Facility		$144.54	$302.00	$1,202.26
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $218.78 / $446.68 / $1,778.28	Facility	50	$218.78	$446.68	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $177.83	Professional		$89.13	$128.82	$177.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $229.09 / $269.15	Professional	50	$144.54	$229.09	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $151.36	Professional		$63.10	$95.50	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $263.03	Facility		$52.48	$117.49	$263.03
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $758.58 / $1,047.13	Facility	50	$758.58	$758.58	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $199.53	Professional		$74.13	$112.20	$199.53
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $128.82 / $630.96	Professional	50	$74.13	$128.82	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $194.98	Professional		$58.88	$93.33	$194.98
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 $57.54 / $97.72 / $165.96	Professional		$57.54	$97.72	$165.96