Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.79 / $1,096.79 / $1,096.79	Facility		$1,096.79	$1,096.79	$1,096.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $1,096.79	Professional		$229.63	$229.63	$1,096.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $241.11 / $493.70	Facility		$229.63	$241.11	$493.70
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 $498.46 / $797.58 / $1,112.61	Facility		$498.46	$797.58	$1,112.61