Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.69 / $132.22	Professional		$123.00	$130.69	$132.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $138.84 / $167.28	Facility		$127.61	$138.84	$167.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $90.55 / $90.55	Professional		$76.97	$90.55	$90.55
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $128.13	Professional		$128.13	$128.13	$128.13