Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Facility		$11.58	$11.58	$11.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.56 / $19.47	Professional		$11.58	$14.56	$19.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.00 / $40.44	Professional		$10.00	$12.00	$40.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $13.28 / $18.20	Facility		$11.58	$13.28	$18.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $13.75	Professional		$11.25	$11.25	$13.75
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 $15.50 / $15.50 / $15.50	Professional		$15.50	$15.50	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $46.00 / $68.00	Professional		$36.00	$46.00	$68.00