Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $475.00	Professional		$250.00	$318.75	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $650.22 / $776.70	Facility		$314.62	$650.22	$776.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Facility		$318.75	$318.75	$425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $101.96	Professional		$30.00	$30.00	$101.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.45 / $637.79 / $778.79	Facility		$446.45	$637.79	$778.79