Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $85.11 / $309.03	Facility		$30.20	$85.11	$309.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $169.82 / $257.04 / $275.42	Facility	25	$169.82	$257.04	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.15 / $154.88	Facility		$100.00	$107.15	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.88 / $89.13	Facility		$16.22	$33.88	$89.13
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $151.36 / $257.04 / $275.42	Facility	25	$151.36	$257.04	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88