Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $300.00 / $400.00	Professional		$299.74	$300.00	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $383.67	Facility		$299.74	$299.74	$383.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
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 Professional Modifier Low / Median / High Price $79.90 / $94.00 / $94.00	Professional		$79.90	$94.00	$94.00