Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $204.90 / $404.03	Facility		$204.90	$204.90	$404.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $274.73 / $432.79	Professional		$204.90	$274.73	$432.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.47 / $432.79 / $1,269.08	Facility		$246.47	$432.79	$1,269.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $399.56	Professional		$30.00	$30.00	$399.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $245.88 / $256.13	Professional		$204.90	$245.88	$256.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $3,038.28	Professional		$2,170.19	$2,170.19	$3,038.28