Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $66.56 / $90.22	Professional		$58.00	$66.56	$90.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $96.82 / $121.09	Professional		$65.25	$96.82	$121.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $90.22 / $113.93	Facility		$66.38	$90.22	$113.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.34 / $3,500.00	Professional		$30.00	$32.34	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $93.97 / $103.90	Professional		$79.87	$93.97	$103.90
United Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $79.43 / $107.00	Professional		$62.53	$79.43	$107.00