Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $81.94 / $81.94	Facility		$81.94	$81.94	$81.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $81.94 / $116.24	Professional		$45.38	$81.94	$116.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $88.02 / $116.24	Facility		$66.05	$88.02	$116.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $138.80 / $159.03	Professional		$128.90	$138.80	$159.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $122.76 / $161.82	Professional		$83.70	$122.76	$161.82