Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.25 / $191.00 / $278.04	Facility		$143.25	$191.00	$278.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $162.07 / $228.57	Professional		$124.00	$162.07	$228.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $172.37 / $172.37 / $172.37	Professional	25	$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $255.43 / $349.08	Professional		$75.00	$255.43	$349.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.68 / $191.00 / $220.14	Facility		$158.68	$191.00	$220.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.06 / $310.08 / $375.86	Professional		$270.06	$310.08	$375.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $180.71 / $352.38	Professional		$32.34	$180.71	$352.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.87 / $265.89 / $329.52	Professional		$201.87	$265.89	$329.52
United Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $182.50 / $284.89	Professional		$127.51	$182.50	$284.89