Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $110.83 / $227.39	Facility		$41.57	$110.83	$227.39
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $348.56 / $348.56 / $348.56	Facility	CO	$348.56	$348.56	$348.56
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.20 / $84.48 / $226.80	Facility	CQ	$61.20	$84.48	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $34.94 / $60.54	Professional		$14.98	$34.94	$60.54
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.10 / $47.10 / $47.10	Professional	CQ	$47.10	$47.10	$47.10
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 $36.11 / $43.60 / $114.34	Professional		$36.11	$43.60	$114.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $35.64 / $75.06	Facility		$26.14	$35.64	$75.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $57.11 / $69.22	Professional		$36.64	$57.11	$69.22
Moda Health Facility/Professional Professional Modifier CO Low / Median / High Price $29.65 / $29.65 / $29.65	Professional	CO	$29.65	$29.65	$29.65
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $27.67 / $35.94 / $35.94	Professional	CQ	$27.67	$35.94	$35.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.03	Professional		$32.34	$32.34	$57.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $54.93 / $82.74	Facility		$47.53	$54.93	$82.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $39.38 / $52.98	Professional		$33.47	$39.38	$52.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $36.38 / $40.42	Professional		$33.61	$36.38	$40.42