Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $125.84 / $152.43	Facility		$83.30	$125.84	$152.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $98.53 / $152.43	Professional		$50.57	$98.53	$152.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $136.63 / $256.20	Facility		$51.24	$136.63	$256.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $57.53 / $108.55	Professional		$48.90	$57.53	$108.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $128.10 / $140.91	Facility		$79.04	$128.10	$140.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $78.83	Professional		$65.69	$65.69	$78.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $59.12 / $128.10	Professional		$50.25	$59.12	$128.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $143.96 / $236.48	Facility		$98.54	$143.96	$236.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $115.34 / $115.34	Professional		$104.20	$115.34	$115.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $28.19 / $100.70	Professional		$27.59	$28.19	$100.70