Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $117.66 / $133.71	Professional		$64.75	$117.66	$133.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $133.71 / $171.15	Facility		$64.75	$133.71	$171.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $113.39 / $133.71	Professional		$106.97	$113.39	$133.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.70 / $73.84	Professional		$30.00	$58.70	$73.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $128.36 / $128.36	Professional		$128.36	$128.36	$128.36
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97