Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $87.21 / $90.36	Professional		$84.06	$87.21	$90.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $99.40 / $115.66	Facility		$89.31	$99.40	$115.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $132.80 / $222.90	Facility		$93.62	$132.80	$222.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $111.64	Professional		$89.31	$89.31	$111.64
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $92.81	Professional		$87.56	$87.56	$92.81