Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $356.04 / $356.04	Facility		$356.04	$356.04	$356.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.04 / $540.96 / $876.05	Professional		$356.04	$540.96	$876.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $558.34 / $693.86	Facility		$542.08	$558.34	$693.86
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 $722.09 / $1,072.03 / $1,566.79	Facility		$722.09	$1,072.03	$1,566.79