Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.58 / $313.25 / $313.25	Facility		$155.58	$313.25	$313.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $155.58 / $163.15	Professional		$132.72	$155.58	$163.15
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 $133.56 / $152.61 / $223.01	Professional		$133.56	$152.61	$223.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $134.82 / $196.86	Facility		$87.50	$134.82	$196.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,000.00	Professional		$30.00	$30.00	$2,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $207.63 / $249.15 / $374.24	Facility		$207.63	$249.15	$374.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $178.64 / $193.36	Professional		$151.84	$178.64	$193.36
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $149.49 / $167.09	Professional		$128.66	$149.49	$167.09