Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.24 / $504.00 / $504.00	Facility		$418.24	$504.00	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $504.00	Professional		$38.00	$50.50	$504.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,625.00	Facility		$1,625.00	$1,625.00	$1,625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $427.00 / $633.50	Professional		$350.00	$427.00	$633.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $418.24 / $510.04	Professional		$270.60	$418.24	$510.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $266.08	Professional		$30.00	$55.00	$266.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $468.00 / $560.00	Professional		$408.00	$468.00	$560.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.00 / $70.00	Professional		$38.00	$50.00	$70.00