Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Facility		$122.70	$122.70	$122.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $104.30 / $122.70	Professional		$98.16	$104.30	$122.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $105.52 / $150.88	Facility		$5.35	$105.52	$150.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $27.69	Professional		$6.64	$6.64	$27.69
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 $127.06 / $127.06 / $155.94	Facility		$127.06	$127.06	$155.94
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70