Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Facility		$11.58	$11.58	$11.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.56 / $137.74	Professional		$11.58	$14.56	$137.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.00 / $50.96	Professional		$19.00	$21.00	$50.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $13.28 / $125.08	Facility		$11.58	$13.28	$125.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.68	Professional		$20.00	$20.00	$20.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $64.50 / $64.50	Professional		$64.50	$64.50	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $143.26 / $218.66	Professional		$23.82	$143.26	$218.66