Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Facility		$93.11	$93.11	$93.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $98.35 / $111.76	Professional		$89.41	$98.35	$111.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $89.41 / $89.41	Facility		$84.35	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $111.76 / $143.05	Facility		$90.30	$111.76	$143.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $94.77 / $111.76	Professional		$89.41	$94.77	$111.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $179.46	Professional		$30.00	$78.00	$179.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $107.29 / $107.29	Professional		$107.29	$107.29	$107.29
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41