Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $148.05 / $201.20	Facility		$38.61	$148.05	$201.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.20 / $89.76 / $97.74	Facility	CQ	$61.20	$89.76	$97.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $30.93 / $53.12	Professional		$14.40	$30.93	$53.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $39.27 / $39.27 / $39.27	Professional	CQ	$39.27	$39.27	$39.27
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 $31.02 / $41.23 / $114.34	Professional		$31.02	$41.23	$114.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $33.18 / $78.30	Facility		$25.49	$33.18	$78.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $52.83 / $64.04	Professional		$31.82	$52.83	$64.04
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $24.59 / $26.71 / $34.90	Professional	CQ	$24.59	$26.71	$34.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.24	Professional		$32.34	$32.34	$53.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $50.43 / $75.31	Facility		$45.60	$50.43	$75.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $36.15 / $48.73	Professional		$30.74	$36.15	$48.73
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $36.09 / $36.09	Professional		$32.00	$36.09	$36.09