Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $57.57 / $57.57	Facility		$57.57	$57.57	$57.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $57.57 / $74.37	Professional		$38.93	$57.57	$74.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Facility		$43.15	$43.15	$43.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $67.39	Professional		$36.68	$43.15	$67.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $50.12 / $74.80	Facility		$46.16	$50.12	$74.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $62.03 / $65.29	Professional		$58.37	$62.03	$65.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $50.44 / $51.79	Professional		$5.04	$50.44	$51.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $63.40 / $107.88	Facility		$63.40	$63.40	$107.88
United Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $32.60 / $60.25	Professional		$31.93	$32.60	$60.25