Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.00 / $1,229.00 / $1,229.00	Facility		$1,229.00	$1,229.00	$1,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $475.00 / $522.50	Professional		$119.05	$475.00	$522.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $228.57 / $273.04	Facility		$110.60	$228.57	$273.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $73.47 / $156.16	Professional		$73.47	$73.47	$156.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $245.00 / $350.35	Facility		$113.67	$245.00	$350.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $189.73 / $189.73	Professional		$189.73	$189.73	$189.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.34 / $3,900.00	Professional		$30.00	$32.34	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.19 / $238.92 / $820.62	Facility		$174.19	$238.92	$820.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $197.96 / $197.96	Professional		$168.27	$197.96	$197.96