Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.28 / $397.28 / $397.28	Facility		$397.28	$397.28	$397.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $475.00	Professional		$318.75	$318.75	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.51 / $1,040.58 / $1,242.42	Facility		$503.51	$1,040.58	$1,242.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $337.88 / $425.00	Facility		$318.75	$337.88	$425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $167.08	Professional		$30.00	$30.00	$167.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $714.15 / $1,020.71 / $1,228.71	Facility		$714.15	$1,020.71	$1,228.71