Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $122.77 / $207.32	Facility		$47.37	$122.77	$207.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $49.31 / $75.72	Professional		$38.75	$49.31	$75.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.60 / $54.60	Facility		$37.56	$54.60	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $87.17 / $209.79	Facility		$39.81	$87.17	$209.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $49.76 / $66.79	Professional		$39.46	$49.76	$66.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $39.07 / $39.07	Professional		$39.07	$39.07	$39.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $63.85 / $65.30	Professional		$63.85	$63.85	$65.30
United Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $58.86 / $58.86	Professional		$55.43	$58.86	$58.86