Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $213.80 / $281.84	Facility		$48.98	$213.80	$281.84
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $117.49 / $117.49 / $501.19	Facility	25	$117.49	$117.49	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $436.52	Professional		$112.20	$181.97	$436.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $208.93 / $537.03	Professional	25	$128.82	$208.93	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $338.84	Professional		$218.78	$269.15	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $288.40	Professional		$125.89	$204.17	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $309.03	Facility		$112.20	$186.21	$309.03
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $117.49 / $117.49 / $501.19	Facility	25	$117.49	$117.49	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $363.08	Professional		$120.23	$194.98	$363.08
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $125.89 / $204.17 / $537.03	Professional	25	$125.89	$204.17	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $295.12	Professional		$173.78	$223.87	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $316.23	Professional		$141.25	$190.55	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $288.40	Professional		$131.83	$194.98	$288.40