Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $137.06 / $152.55	Facility		$137.06	$137.06	$152.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $93.71 / $115.18	Professional		$74.56	$93.71	$115.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $50.51 / $59.43	Professional		$49.57	$50.51	$59.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $115.18 / $138.31	Facility		$88.04	$115.18	$138.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $101.89 / $107.71	Professional		$96.06	$101.89	$107.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.65	Professional		$32.34	$32.34	$108.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $105.92 / $105.98	Professional		$102.64	$105.92	$105.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $50.24 / $92.46	Professional		$39.61	$50.24	$92.46