Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $38.02 / $198.55	Facility		$13.56	$38.02	$198.55
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $94.20 / $124.96 / $137.69	Facility	25	$94.20	$124.96	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $24.32 / $51.45	Professional		$9.05	$24.32	$51.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $8.23 / $31.15 / $74.00	Professional	25	$8.23	$31.15	$74.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Facility		$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $19.70 / $38.97	Professional		$11.57	$19.70	$38.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $21.29 / $35.15	Facility		$9.61	$21.29	$35.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $25.36 / $45.28	Professional		$13.88	$25.36	$45.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $40.85	Professional		$32.34	$32.34	$40.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $24.45 / $39.45	Professional		$12.65	$24.45	$39.45
United Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.33 / $41.52	Professional		$21.28	$29.33	$41.52