Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $180.00 / $224.40	Facility		$97.68	$180.00	$224.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $92.96 / $143.82	Professional		$58.26	$92.96	$143.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $65.67 / $241.74	Facility		$60.44	$65.67	$241.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $71.45 / $89.31	Professional		$38.02	$71.45	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.26 / $115.06 / $128.11	Facility		$58.26	$115.06	$128.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $74.38	Professional		$61.98	$61.98	$74.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Professional		$61.98	$61.98	$61.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.97 / $139.46 / $228.09	Facility		$92.97	$139.46	$228.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $106.51 / $108.90	Professional		$52.68	$106.51	$108.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $36.86 / $126.84	Professional		$26.03	$36.86	$126.84