Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $102.85 / $104.06	Professional		$96.80	$102.85	$104.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $109.26 / $131.65	Facility		$100.43	$109.26	$131.65
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 $43.21 / $43.21 / $53.03	Facility		$43.21	$43.21	$53.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $74.63	Professional		$51.06	$51.06	$74.63
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $154.00	Professional		$110.00	$110.00	$154.00