Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $85.47 / $85.47	Facility		$85.47	$85.47	$85.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $123.34 / $149.93	Professional		$83.73	$123.34	$149.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.62 / $149.93 / $170.92	Facility		$92.62	$149.93	$170.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $132.34 / $132.34	Professional		$128.32	$132.34	$132.34
United Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $139.83 / $255.40	Professional		$100.17	$139.83	$255.40