Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $48.03 / $48.03	Facility		$48.03	$48.03	$48.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $60.31 / $131.21	Professional		$34.29	$60.31	$131.21
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.76 / $93.30 / $191.68	Professional	25	$41.76	$93.30	$191.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $65.01 / $92.61	Professional		$42.81	$65.01	$92.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $60.30 / $104.15	Facility		$44.70	$60.30	$104.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $82.65 / $94.46	Professional		$58.80	$82.65	$94.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $87.17	Professional		$32.34	$32.34	$87.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $73.13 / $85.94	Professional		$59.94	$73.13	$85.94
United Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $53.82 / $70.91	Professional		$40.32	$53.82	$70.91