Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $153.25 / $428.00	Facility		$40.33	$153.25	$428.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $43.35 / $105.81	Professional		$25.15	$43.35	$105.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $66.06 / $141.05	Professional		$33.15	$66.06	$141.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $65.73 / $119.73	Facility		$34.29	$65.73	$119.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $95.54 / $115.80	Professional		$37.90	$95.54	$115.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.79 / $104.58	Professional		$32.34	$33.79	$104.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $66.78 / $118.80	Professional		$30.18	$66.78	$118.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $109.01 / $148.22	Professional		$79.80	$109.01	$148.22