Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.90 / $116.90 / $116.90	Facility		$116.90	$116.90	$116.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $116.90 / $157.56	Professional		$86.81	$116.90	$157.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $101.11	Facility		$57.76	$57.76	$101.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $103.09	Professional		$49.10	$57.76	$103.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $84.45 / $156.97	Facility		$48.08	$84.45	$156.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $131.51 / $138.43	Professional		$120.09	$131.51	$138.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $109.93 / $112.89	Professional		$10.99	$109.93	$112.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.40 / $134.40 / $228.53	Facility		$134.40	$134.40	$228.53
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $66.56 / $105.40	Professional		$61.54	$66.56	$105.40