Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $107.92 / $122.63	Professional		$98.11	$107.92	$122.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $98.11 / $98.11	Facility		$92.55	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $122.63 / $156.97	Facility		$100.40	$122.63	$156.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $103.99 / $122.64	Professional		$98.11	$103.99	$122.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $183.81	Professional		$30.00	$78.00	$183.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $117.73 / $117.73	Professional		$117.73	$117.73	$117.73
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11