Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $74.13 / $234.42	Facility		$9.33	$74.13	$234.42
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $42.66 / $141.25 / $234.42	Facility	25	$42.66	$141.25	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $134.90	Professional		$28.84	$53.70	$134.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.88 / $57.54 / $120.23	Professional	25	$33.88	$57.54	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $114.82	Professional		$58.88	$75.86	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $93.33	Professional		$29.51	$53.70	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50.12 / $91.20	Facility		$28.18	$50.12	$91.20
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $42.66 / $134.90 / $234.42	Facility	25	$42.66	$134.90	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $112.20	Professional		$32.36	$54.95	$112.20
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $33.11 / $57.54 / $117.49	Professional	25	$33.11	$57.54	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $93.33	Professional		$38.90	$66.07	$93.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $100.00	Professional		$35.48	$56.23	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $77.62	Professional		$28.18	$47.86	$77.62