Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $21.43 / $24.35	Professional		$19.48	$21.43	$24.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $19.48 / $19.48	Facility		$18.38	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $24.35 / $31.17	Facility		$19.48	$24.35	$31.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $23.38 / $24.35	Professional		$19.48	$23.38	$24.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $30.00 / $3,900.00	Professional		$14.90	$30.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $23.37 / $23.37	Professional		$23.37	$23.37	$23.37
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48