Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $53.75 / $53.75	Facility		$53.75	$53.75	$53.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $62.36 / $108.30	Professional		$49.53	$62.36	$108.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $91.74 / $119.13	Facility		$44.61	$91.74	$119.13
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 $286.31 / $351.81 / $474.04	Facility		$286.31	$351.81	$474.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $95.16 / $95.16	Professional		$95.16	$95.16	$95.16
United Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $87.83 / $124.43	Professional		$62.22	$87.83	$124.43