Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $65.70 / $65.70	Facility		$65.70	$65.70	$65.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $65.70 / $110.23	Professional		$56.76	$65.70	$110.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $68.11 / $89.85	Facility		$62.83	$68.11	$89.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $122.27 / $139.74	Professional		$115.29	$122.27	$139.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $128.12	Professional		$30.00	$55.00	$128.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $106.08 / $106.46	Professional		$90.49	$106.08	$106.46
United Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $99.74 / $129.66	Professional		$73.80	$99.74	$129.66