Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.25 / $291.25 / $291.25	Facility		$291.25	$291.25	$291.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $311.20	Professional		$242.71	$242.71	$311.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $254.85 / $310.67	Facility		$242.71	$254.85	$310.67
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 $388.00 / $1,167.84 / $1,745.18	Facility		$388.00	$1,167.84	$1,745.18