Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $95.77 / $95.77	Facility		$95.77	$95.77	$95.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $102.36 / $123.03	Professional		$16.00	$102.36	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $10.25	Professional		$10.25	$10.25	$10.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $98.64 / $122.59	Facility		$60.93	$98.64	$122.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $14.93 / $160.53	Professional		$12.69	$14.93	$160.53
United Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $138.61 / $196.75	Professional		$110.88	$138.61	$196.75