Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $75.76 / $89.13	Facility		$66.84	$75.76	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $89.01 / $124.82	Professional		$65.81	$89.01	$124.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $129.21 / $159.02	Professional		$58.00	$129.21	$159.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.11 / $93.78 / $134.65	Facility		$79.11	$93.78	$134.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $152.63 / $185.02	Professional		$135.04	$152.63	$185.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $89.03 / $173.61	Professional		$32.34	$89.03	$173.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $120.52 / $147.96	Professional		$96.56	$120.52	$147.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $95.47 / $138.24	Professional		$73.25	$95.47	$138.24