Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $69.31	Facility		$69.31	$69.31	$69.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $69.31 / $104.43	Professional		$35.35	$69.31	$104.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $81.81	Facility		$55.97	$55.97	$81.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $68.04	Professional		$47.57	$55.97	$68.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $56.21 / $104.43	Facility		$41.45	$56.21	$104.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $77.97 / $104.00	Professional		$10.44	$77.97	$104.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $72.65 / $74.58	Professional		$7.26	$72.65	$74.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $87.30 / $151.47	Facility		$87.30	$87.30	$151.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $50.64 / $84.82	Professional		$41.89	$50.64	$84.82