Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $97.21 / $97.21	Facility		$97.21	$97.21	$97.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $88.00 / $294.37	Professional		$84.93	$88.00	$294.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $103.16 / $125.84	Facility		$86.98	$103.16	$125.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $74.37 / $189.56	Professional		$30.00	$74.37	$189.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $116.65 / $121.51	Professional		$97.21	$116.65	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $136.43	Professional		$85.27	$85.27	$136.43