Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $138.96 / $185.29	Facility		$52.01	$138.96	$185.29
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $81.00 / $81.00 / $81.00	Facility	25	$81.00	$81.00	$81.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $128.33 / $328.86	Professional		$77.23	$128.33	$328.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $79.23 / $131.13 / $355.57	Professional	25	$79.23	$131.13	$355.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $146.68 / $146.68	Facility		$146.68	$146.68	$146.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $141.32 / $191.36	Professional		$89.79	$141.32	$191.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $120.63 / $179.07	Facility		$81.84	$120.63	$179.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $158.50 / $218.02	Professional		$130.76	$158.50	$218.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.00 / $197.79	Professional		$32.34	$152.00	$197.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $142.69 / $191.82	Professional		$117.18	$142.69	$191.82
United Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $141.49 / $188.50	Professional		$105.19	$141.49	$188.50