Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Professional		$87.57	$87.57	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.29 / $285.29 / $285.29	Professional		$285.29	$285.29	$285.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $91.95 / $214.83	Facility		$87.57	$91.95	$214.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $186.23 / $186.23	Professional		$186.23	$186.23	$186.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $44.13 / $57.51	Professional		$37.51	$44.13	$57.51
United Facility/Professional Professional Modifier Low / Median / High Price $367.00 / $367.00 / $367.00	Professional		$367.00	$367.00	$367.00