Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Facility		$187.57	$187.57	$187.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $187.57 / $189.78	Professional		$176.54	$187.57	$189.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $187.57 / $228.65	Facility		$168.13	$187.57	$228.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $189.78 / $242.92	Facility		$157.93	$189.78	$242.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $174.46 / $227.02	Professional		$141.88	$174.46	$227.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $264.58 / $361.08	Facility		$145.22	$264.58	$361.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $138.31 / $180.54	Professional		$138.31	$138.31	$180.54