Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.36 / $2,568.23 / $4,400.00	Facility		$200.36	$2,568.23	$4,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $225.37 / $227.33	Professional		$142.54	$225.37	$227.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.41 / $195.78 / $195.78	Facility		$171.41	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $278.10	Professional		$166.41	$166.41	$278.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $199.05 / $268.08	Facility		$76.44	$199.05	$268.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.28 / $254.69 / $268.08	Professional		$241.28	$254.69	$268.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $200.29 / $241.28	Professional		$30.00	$200.29	$241.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.66 / $187.66 / $281.49	Professional		$187.66	$187.66	$281.49
United Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $118.40 / $187.46	Professional		$109.47	$118.40	$187.46