Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.95 / $123.95 / $124.99	Facility		$123.95	$123.95	$124.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $93.91 / $111.37	Professional		$71.20	$93.91	$111.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $101.42 / $140.43	Professional		$87.07	$101.42	$140.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $106.50 / $201.63	Facility		$94.84	$106.50	$201.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $124.53 / $142.32	Professional		$117.41	$124.53	$142.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $131.06	Professional		$32.34	$32.34	$131.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $110.45 / $131.01	Professional		$93.88	$110.45	$131.01
United Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $111.80 / $155.40	Professional		$81.29	$111.80	$155.40