Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $55.91 / $80.55	Facility		$55.91	$55.91	$80.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $60.41 / $60.41	Professional		$21.69	$60.41	$60.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $32.83 / $120.84	Facility		$30.21	$32.83	$120.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $35.52 / $44.40	Professional		$19.01	$35.52	$44.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $54.10 / $63.43	Facility		$29.12	$54.10	$63.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $37.18	Professional		$30.98	$30.98	$37.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $30.98	Professional		$30.98	$30.98	$30.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $69.70 / $114.01	Facility		$46.47	$69.70	$114.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $52.96 / $54.45	Professional		$26.33	$52.96	$54.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.43 / $51.00	Professional		$13.01	$18.43	$51.00