Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $79.80 / $502.49	Facility		$75.84	$79.80	$502.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $72.23 / $79.80	Professional		$67.20	$72.23	$79.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $72.23 / $103.30	Facility		$35.70	$72.23	$103.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $61.05 / $155.61	Professional		$30.00	$61.05	$155.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $95.76 / $99.75	Professional		$79.80	$95.76	$99.75
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $111.72	Professional		$79.80	$79.80	$111.72