Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Facility		$43.97	$43.97	$43.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $85.74 / $85.74	Professional		$43.97	$85.74	$85.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $65.95 / $90.03	Facility		$32.84	$65.95	$90.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $43.97 / $54.96	Professional		$37.43	$43.97	$54.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $85.74 / $85.74	Professional		$85.74	$85.74	$85.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $65.67 / $68.04	Professional		$63.44	$65.67	$68.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $18.47 / $41.77	Professional		$12.71	$18.47	$41.77