Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $71.95 / $81.76	Professional		$65.41	$71.95	$81.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $65.40 / $65.40	Facility		$61.70	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $71.95 / $92.10	Facility		$39.21	$71.95	$92.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $71.95 / $81.76	Professional		$65.41	$71.95	$81.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $58.86 / $127.55	Professional		$29.88	$58.86	$127.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $78.48 / $78.48	Professional		$78.48	$78.48	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41