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 $420.82 / $443.71 / $1,151.72	Professional		$420.82	$443.71	$1,151.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.82 / $443.71 / $1,151.72	Facility		$420.82	$443.71	$1,151.72
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