Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $151.27 / $153.05	Professional		$142.38	$151.27	$153.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $160.69 / $193.63	Facility		$147.72	$160.69	$193.63
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 $117.56 / $138.30 / $138.30	Professional		$117.56	$138.30	$138.30
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $226.51	Professional		$161.79	$161.79	$226.51