Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $143.84 / $143.84	Facility		$38.00	$143.84	$143.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $74.41 / $107.69	Professional		$40.60	$74.41	$107.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $64.64	Facility		$58.00	$58.00	$64.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $61.83	Professional		$42.34	$58.00	$61.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $77.68 / $110.27	Facility		$28.97	$77.68	$110.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $104.76 / $110.27	Professional		$99.24	$104.76	$110.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $81.37 / $96.92	Professional		$30.00	$81.37	$96.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $107.69 / $161.54	Facility		$96.56	$107.69	$161.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $77.19 / $115.78	Professional		$77.19	$77.19	$115.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.87 / $73.68	Professional		$40.74	$44.87	$73.68