Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.69 / $113.51 / $186.16	Facility		$59.69	$113.51	$186.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $59.12 / $59.78	Professional		$29.39	$59.12	$59.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $75.00	Facility		$70.00	$70.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $54.98 / $113.94	Professional		$30.40	$54.98	$113.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $56.21 / $75.67	Facility		$25.18	$56.21	$75.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $99.81 / $120.98	Professional		$67.75	$99.81	$120.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $98.37	Professional		$32.34	$32.34	$98.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $93.38 / $141.66	Facility		$77.81	$93.38	$141.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $66.95 / $89.36	Professional		$56.91	$66.95	$89.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $47.75 / $53.05	Professional		$28.25	$47.75	$53.05