Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $57.64 / $82.16	Facility		$57.64	$57.64	$82.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $61.62 / $61.62	Professional		$22.12	$61.62	$61.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.24 / $123.24 / $123.24	Facility		$123.24	$123.24	$123.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $36.34 / $45.43	Professional		$30.01	$36.34	$45.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $61.62 / $65.31	Facility		$30.02	$61.62	$65.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $37.92	Professional		$31.60	$31.60	$37.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $78.00	Professional		$55.00	$55.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $63.20 / $113.76	Facility		$47.40	$63.20	$113.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $47.26 / $48.68	Professional		$26.86	$47.26	$48.68
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $37.92	Professional		$13.27	$13.27	$37.92