Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $315.00 / $315.00	Facility		$261.39	$315.00	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $315.00	Professional		$38.00	$50.50	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $244.00 / $362.00	Professional		$200.00	$244.00	$362.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $261.39 / $318.77	Professional		$169.13	$261.39	$318.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $153.16	Professional		$30.00	$55.00	$153.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $292.50 / $350.00	Professional		$255.00	$292.50	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $56.00 / $74.00	Professional		$38.00	$56.00	$74.00