Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Facility		$252.64	$252.64	$252.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $252.64 / $322.12	Facility		$252.64	$252.64	$322.12
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 $154.91 / $206.81 / $264.43	Facility		$154.91	$206.81	$264.43