Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.94 / $58.94 / $58.94	Facility		$58.94	$58.94	$58.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $58.94	Professional		$47.15	$48.92	$58.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $52.07 / $64.88	Facility		$49.98	$52.07	$64.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,500.00 / $3,900.00	Professional		$30.00	$1,500.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.43 / $130.18	Facility		$54.95	$67.43	$130.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $62.48	Professional		$58.94	$58.94	$62.48