Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $82.41 / $82.41	Facility		$82.41	$82.41	$82.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $98.72 / $112.18	Professional		$82.41	$98.72	$112.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $89.75 / $89.75	Facility		$84.67	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $112.18 / $143.59	Facility		$82.41	$112.18	$143.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $91.55 / $112.19	Professional		$89.75	$91.55	$112.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $125.69 / $140.05	Professional		$125.69	$125.69	$140.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $107.70 / $107.70	Professional		$107.70	$107.70	$107.70
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75