Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.87 / $376.38 / $757.88	Facility		$151.87	$376.38	$757.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $272.70 / $304.80	Professional		$266.30	$272.70	$304.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $275.92 / $394.57	Facility		$51.00	$275.92	$394.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $233.17 / $594.36	Professional		$30.00	$233.17	$594.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $365.76 / $381.00	Professional		$304.80	$365.76	$381.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $374.32	Professional		$267.37	$267.37	$374.32