Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $89.60 / $123.41	Facility		$36.38	$89.60	$123.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $62.99 / $74.95	Professional		$22.61	$62.99	$74.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $34.22 / $126.00	Facility		$31.50	$34.22	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $37.17 / $46.46	Professional		$19.77	$37.17	$46.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $56.41 / $66.14	Facility		$30.36	$56.41	$66.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $38.76	Professional		$32.29	$32.29	$38.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $72.68 / $118.86	Facility		$48.45	$72.68	$118.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $55.29 / $56.79	Professional		$27.46	$55.29	$56.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.22 / $53.17	Professional		$13.57	$19.22	$53.17