Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $142.74 / $142.74	Facility		$142.74	$142.74	$142.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $142.74 / $186.82	Professional		$94.81	$142.74	$186.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $135.66	Facility		$111.50	$111.50	$135.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $129.57	Professional		$94.78	$111.50	$129.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $95.19 / $181.52	Facility		$59.99	$95.19	$181.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $141.35 / $181.52	Professional		$17.25	$141.35	$181.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $13.62 / $130.66	Professional		$7.34	$13.62	$130.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.87 / $160.87 / $270.98	Facility		$160.87	$160.87	$270.98
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $82.57 / $140.66	Professional		$80.23	$82.57	$140.66