Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $891.25 / $4,466.84	Facility		$173.78	$891.25	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $1,548.82 / $2,951.21	Facility	50	$1,047.13	$1,548.82	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $199.53 / $741.31	Professional		$64.57	$199.53	$741.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $223.87 / $912.01	Professional	50	$147.91	$223.87	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $724.44	Facility		$234.42	$363.08	$724.44
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $346.74 / $537.03 / $776.25	Facility	50	$346.74	$537.03	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $331.13 / $489.78	Professional		$114.82	$331.13	$489.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $630.96 / $741.31	Professional	50	$165.96	$630.96	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $331.13	Professional		$81.28	$186.21	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $257.04 / $912.01	Facility		$70.79	$257.04	$912.01
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $1,548.82 / $2,951.21	Facility	50	$1,047.13	$1,548.82	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $537.03	Professional		$95.50	$194.98	$537.03
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $208.93 / $912.01	Professional	50	$93.33	$208.93	$912.01
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 $107.15 / $162.18 / $512.86	Professional		$107.15	$162.18	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $245.47 / $524.81	Professional		$75.86	$245.47	$524.81
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 $75.86 / $154.88 / $354.81	Professional		$75.86	$154.88	$354.81