Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $100.73 / $159.28	Facility		$49.02	$100.73	$159.28
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $9.80 / $140.80 / $180.80	Facility	25	$9.80	$140.80	$180.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $92.74 / $225.00	Professional		$52.85	$92.74	$225.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.05 / $96.08 / $247.18	Professional	25	$54.05	$96.08	$247.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $118.05 / $118.05	Facility		$118.05	$118.05	$118.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $110.35 / $156.19	Professional		$60.12	$110.35	$156.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $90.36 / $129.50	Facility		$58.96	$90.36	$129.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $127.44 / $177.90	Professional		$94.20	$127.44	$177.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.94 / $162.22	Professional		$32.34	$128.94	$162.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $114.75 / $155.51	Professional		$86.11	$114.75	$155.51
United Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $102.50 / $130.41	Professional		$76.15	$102.50	$130.41