Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.33 / $1,040.33 / $1,040.33	Facility		$1,040.33	$1,040.33	$1,040.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $1,040.33	Professional		$248.71	$248.71	$1,040.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $261.14 / $534.73	Facility		$248.71	$261.14	$534.73
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 $618.29 / $878.53 / $1,293.28	Facility		$618.29	$878.53	$1,293.28