Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $131.83	Professional		$33.88	$60.26	$131.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.12 / $95.50 / $213.80	Professional	25	$50.12	$95.50	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.48 / $138.04	Facility		$9.33	$11.48	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $100.00	Professional		$75.86	$93.33	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $93.33	Professional		$42.66	$64.57	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $58.88 / $107.15	Facility		$42.66	$58.88	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $109.65	Professional		$40.74	$72.44	$109.65
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $50.12 / $93.33 / $213.80	Professional	25	$50.12	$93.33	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $85.11	Professional		$51.29	$75.86	$85.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $93.33	Professional		$41.69	$43.65	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $70.79	Professional		$37.15	$53.70	$70.79