Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.83 / $127.83 / $127.83	Facility		$127.83	$127.83	$127.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $127.83 / $351.67	Professional		$83.90	$127.83	$351.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $174.44 / $243.65	Professional		$103.32	$174.44	$243.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $151.22 / $176.58	Facility		$109.91	$151.22	$176.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $199.26 / $227.72	Professional		$151.19	$199.26	$227.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.74	Professional		$32.34	$32.34	$210.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $175.12 / $207.50	Professional		$148.85	$175.12	$207.50
United Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $144.06 / $187.80	Professional		$105.84	$144.06	$187.80