Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.57 / $1,771.57 / $1,771.57	Facility		$1,771.57	$1,771.57	$1,771.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $1,771.57	Professional		$585.04	$585.04	$1,771.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $614.29 / $1,257.83	Facility		$585.04	$614.29	$1,257.83
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 $1,112.82 / $1,475.06 / $2,056.63	Facility		$1,112.82	$1,475.06	$2,056.63