Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $57.54 / $4,466.84	Facility		$9.33	$57.54	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.44 / $43.65	Professional		$12.59	$23.44	$43.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.50 / $37.15 / $72.44	Professional	50	$19.50	$37.15	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $117.49 / $190.55	Facility		$63.10	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $30.20	Professional		$25.12	$29.51	$30.20
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $43.65 / $45.71	Professional	50	$37.15	$43.65	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $27.54	Professional		$16.60	$22.39	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $851.14	Facility		$16.60	$37.15	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.18 / $33.88	Professional		$16.60	$28.18	$33.88
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $19.50 / $37.15 / $70.79	Professional	50	$19.50	$37.15	$70.79
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 Facility Modifier Low / Median / High Price $109.65 / $144.54 / $199.53	Facility		$109.65	$144.54	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $25.12	Professional		$20.89	$24.55	$25.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $144.54	Professional		$15.49	$15.85	$144.54
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 $13.49 / $18.20 / $25.70	Professional		$13.49	$18.20	$25.70