Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $124.84 / $124.84	Facility		$61.57	$124.84	$124.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $61.57 / $65.02	Professional		$52.86	$61.57	$65.02
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 $53.29 / $60.82 / $88.94	Professional		$53.29	$60.82	$88.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $61.57 / $83.23	Facility		$38.11	$61.57	$83.23
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 $82.80 / $99.36 / $149.09	Facility		$82.80	$99.36	$149.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $71.23 / $77.11	Professional		$60.55	$71.23	$77.11
United Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $59.62 / $66.77	Professional		$51.40	$59.62	$66.77