Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $319.11 / $330.64	Professional		$307.58	$319.11	$330.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $363.70 / $423.22	Facility		$326.80	$363.70	$423.22
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 $356.59 / $509.42 / $866.01	Facility		$356.59	$509.42	$866.01
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Professional		$320.39	$320.39	$320.39