Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $225.00	Facility		$23.15	$23.15	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Professional		$23.15	$23.15	$23.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $112.50 / $112.50	Facility		$95.00	$112.50	$112.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $70.00	Facility		$23.15	$23.15	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,000.00	Professional		$30.00	$30.00	$2,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Professional		$17.51	$17.51	$17.51