Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $88.04 / $100.05	Professional		$80.04	$88.04	$100.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $80.04 / $80.04	Facility		$75.51	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $100.05 / $128.06	Facility		$80.04	$100.05	$128.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $84.04 / $100.05	Professional		$80.04	$84.04	$100.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $80.04 / $156.08	Professional		$30.00	$80.04	$156.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $96.05 / $96.05	Professional		$96.05	$96.05	$96.05
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04