Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.63 / $193.63 / $4,000.00	Facility		$193.63	$193.63	$4,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $97.32 / $97.33	Professional		$90.48	$97.32	$97.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $95.91 / $115.81	Facility		$90.48	$95.91	$115.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.06 / $68.47 / $117.93	Facility		$53.06	$68.47	$117.93