Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $142.52 / $249.60	Facility		$42.00	$142.52	$249.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $94.20 / $202.50 / $454.20	Facility	25	$94.20	$202.50	$454.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $138.66 / $343.33	Professional		$69.43	$138.66	$343.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.97 / $140.96 / $366.00	Professional	25	$66.97	$140.96	$366.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $166.95 / $166.95	Facility		$166.95	$166.95	$166.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $163.41 / $222.27	Professional		$92.08	$163.41	$222.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $131.93 / $183.64	Facility		$86.93	$131.93	$183.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $187.60 / $250.36	Professional		$140.19	$187.60	$250.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.00 / $228.56	Professional		$32.34	$152.00	$228.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $169.69 / $220.50	Professional		$125.55	$169.69	$220.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $137.71 / $192.79	Professional		$109.00	$137.71	$192.79