Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $283.36 / $756.80	Facility		$119.49	$283.36	$756.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $114.47 / $489.20	Professional		$44.85	$114.47	$489.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $184.73 / $367.83	Professional		$57.23	$184.73	$367.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $396.34 / $396.34 / $608.00	Professional		$396.34	$396.34	$608.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $199.53 / $489.20	Facility		$55.95	$199.53	$489.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $326.63 / $395.92	Professional		$68.31	$326.63	$395.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $118.66 / $353.36	Professional		$32.34	$118.66	$353.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $88.63 / $396.48	Professional		$65.47	$88.63	$396.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $288.14 / $435.04	Professional		$212.21	$288.14	$435.04