Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $139.34 / $153.91	Professional		$129.62	$139.34	$153.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $137.72 / $176.28	Facility		$20.05	$137.72	$176.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $117.75 / $300.14	Professional		$30.00	$117.75	$300.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $184.70 / $192.40	Professional		$153.91	$184.70	$192.40
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $246.27	Professional		$153.91	$153.91	$246.27