Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.99 / $249.99 / $249.99	Facility		$249.99	$249.99	$249.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $253.70	Professional		$89.88	$174.10	$253.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $182.81 / $249.99	Facility		$174.10	$182.81	$249.99
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 $473.11 / $675.76 / $837.05	Facility		$473.11	$675.76	$837.05