Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $96.46 / $128.61	Facility		$52.01	$96.46	$128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $85.03 / $198.40	Professional		$50.41	$85.03	$198.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.75 / $86.70 / $203.00	Professional	25	$58.75	$86.70	$203.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $94.71 / $94.71	Facility		$94.71	$94.71	$94.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $87.98 / $128.09	Professional		$59.26	$87.98	$128.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $78.23 / $124.29	Facility		$51.44	$78.23	$124.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $96.60 / $139.74	Professional		$74.73	$96.60	$139.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.06 / $127.14	Professional		$32.34	$101.06	$127.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $89.56 / $124.01	Professional		$69.56	$89.56	$124.01
United Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $103.20 / $134.19	Professional		$74.55	$103.20	$134.19