Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $77.44 / $240.67	Facility		$33.32	$77.44	$240.67
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $55.80 / $55.80 / $58.40	Facility	CO	$55.80	$55.80	$58.40
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $58.10 / $89.60 / $327.36	Facility	CQ	$58.10	$89.60	$327.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $32.46 / $79.61	Professional		$14.40	$32.46	$79.61
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $32.46 / $47.45 / $178.53	Professional	CQ	$32.46	$47.45	$178.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $75.00 / $100.00	Facility		$70.00	$75.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $39.33 / $114.34	Professional		$27.25	$39.33	$114.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $30.92 / $71.09	Facility		$23.80	$30.92	$71.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $47.50 / $57.58	Professional		$27.11	$47.50	$57.58
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $16.97 / $21.72 / $29.71	Professional	CQ	$16.97	$21.72	$29.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.36	Professional		$32.34	$32.34	$42.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $43.94 / $68.59	Facility		$43.94	$43.94	$68.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.50 / $42.51	Professional		$26.78	$31.50	$42.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $31.40 / $32.58	Professional		$28.26	$31.40	$32.58