Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $19.00 / $24.60	Professional		$15.61	$19.00	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $22.00 / $40.44	Professional		$19.00	$22.00	$40.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $17.89 / $21.56	Facility		$13.27	$17.89	$21.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $22.50 / $23.27	Professional		$10.44	$22.50	$23.27
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 $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $51.99 / $66.43	Professional		$37.44	$51.99	$66.43