Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.49 / $196.49 / $196.49	Facility		$196.49	$196.49	$196.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $195.84 / $282.25	Professional		$89.16	$195.84	$282.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Facility		$183.96	$183.96	$183.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $282.25 / $361.28	Facility		$131.35	$282.25	$361.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.86 / $122.23 / $191.28	Facility		$51.86	$122.23	$191.28
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $215.05	Professional		$215.05	$215.05	$215.05