Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $205.70 / $208.12	Professional		$193.60	$205.70	$208.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $218.53 / $263.30	Facility		$200.86	$218.53	$263.30
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 $105.30 / $123.88 / $130.33	Professional		$105.30	$123.88	$130.33
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00