Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $37.59 / $853.20	Facility		$37.59	$37.59	$853.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $46.05 / $50.63	Professional		$34.54	$46.05	$50.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $35.19	Professional		$35.19	$35.19	$35.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $64.17 / $83.33	Facility		$31.44	$64.17	$83.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $384.27 / $510.32 / $759.08	Facility		$384.27	$510.32	$759.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $58.87 / $81.76	Professional		$42.40	$58.87	$81.76