Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $91.83 / $91.83	Facility		$91.83	$91.83	$91.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $114.73 / $114.73	Professional		$56.40	$114.73	$114.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $117.08 / $146.85	Facility		$114.73	$117.08	$146.85
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 $138.03 / $184.87 / $254.13	Facility		$138.03	$184.87	$254.13