Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.72 / $1,151.72 / $1,151.72	Facility		$1,151.72	$1,151.72	$1,151.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.72 / $1,726.72 / $3,135.93	Professional		$1,151.72	$1,726.72	$3,135.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.72 / $1,726.72 / $2,469.21	Facility		$1,726.72	$1,726.72	$2,469.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $613.69	Professional		$30.00	$30.00	$613.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,443.37 / $1,983.04 / $2,470.40	Facility		$1,443.37	$1,983.04	$2,470.40