Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Facility		$111.00	$111.00	$111.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $23.92 / $37.84	Professional		$8.82	$23.92	$37.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Facility		$17.48	$17.48	$17.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $30.31	Professional		$12.25	$12.25	$30.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $19.64 / $37.84	Facility		$8.23	$19.64	$37.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $26.48 / $27.87	Professional		$25.08	$26.48	$27.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $27.87 / $48.77	Professional		$20.09	$27.87	$48.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $20.21 / $29.26	Professional		$19.51	$20.21	$29.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $12.74 / $19.98	Professional		$11.78	$12.74	$19.98