Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Facility		$88.76	$88.76	$88.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $88.76 / $113.17	Facility		$88.76	$88.76	$113.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $438.15 / $736.42	Facility		$189.02	$438.15	$736.42