Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $133.78 / $169.88	Facility		$117.93	$133.78	$169.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $127.41 / $127.41	Professional		$45.74	$127.41	$127.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $135.90 / $254.82	Facility		$50.96	$135.90	$254.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $57.22 / $107.96	Professional		$48.64	$57.22	$107.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $127.41 / $140.15	Facility		$78.62	$127.41	$140.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $78.41	Professional		$65.34	$65.34	$78.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $58.81 / $127.41	Professional		$49.99	$58.81	$127.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $130.68 / $235.22	Facility		$98.01	$130.68	$235.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $114.76 / $114.76	Professional		$104.20	$114.76	$114.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $27.44 / $68.38	Professional		$25.01	$27.44	$68.38