Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.26 / $751.26 / $751.26	Facility		$751.26	$751.26	$751.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $748.10 / $751.26	Professional		$695.90	$748.10	$751.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $748.10 / $1,069.78	Facility		$739.40	$748.10	$1,069.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,464.96	Professional		$30.00	$30.00	$1,464.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $751.26 / $901.51 / $939.08	Professional		$751.26	$901.51	$939.08
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $85.80 / $228.80	Professional		$85.80	$85.80	$228.80