Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $133.65 / $182.76	Facility		$133.65	$133.65	$182.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $71.95 / $134.44	Professional		$62.28	$71.95	$134.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $114.19 / $137.69	Professional		$87.58	$114.19	$137.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $134.44 / $169.80	Facility		$87.41	$134.44	$169.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $137.13 / $170.31	Professional		$113.14	$137.13	$170.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $127.28	Professional		$32.34	$32.34	$127.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $144.54 / $170.31	Professional		$133.35	$144.54	$170.31
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $92.03 / $152.57	Professional		$77.52	$92.03	$152.57