Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $237.07 / $237.07	Facility		$237.07	$237.07	$237.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $425.00 / $475.00	Professional		$237.07	$425.00	$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 $1,717.98 / $1,717.98 / $1,717.98	Professional		$1,717.98	$1,717.98	$1,717.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $544.00	Facility		$425.00	$425.00	$544.00
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