Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Facility		$64.31	$64.31	$64.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $82.48 / $100.02	Professional		$63.23	$82.48	$100.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $87.43 / $128.03	Facility		$14.80	$87.43	$128.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $73.97	Professional		$13.80	$13.80	$73.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $111.32 / $170.68	Facility		$109.35	$111.32	$170.68
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $22.40	Professional		$16.00	$16.00	$22.40