Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.71 / $119.54 / $193.80	Facility		$113.71	$119.54	$193.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $88.84 / $213.43	Professional		$69.40	$88.84	$213.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $92.42 / $139.31	Professional		$66.26	$92.42	$139.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $80.27 / $113.72	Facility		$33.47	$80.27	$113.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $123.82 / $150.08	Professional		$84.04	$123.82	$150.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.25	Professional		$32.34	$32.34	$125.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $108.18 / $114.35 / $169.97	Facility		$108.18	$114.35	$169.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $113.93 / $128.22	Professional		$92.73	$113.93	$128.22
United Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $108.00 / $138.59	Professional		$79.20	$108.00	$138.59