Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $161.10 / $320.73	Facility		$30.40	$161.10	$320.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $22.92 / $89.94	Professional		$12.69	$22.92	$89.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $22.78 / $25.26	Professional		$18.09	$22.78	$25.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.18 / $90.49	Professional		$48.18	$48.18	$90.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $23.70 / $39.84	Facility		$12.26	$23.70	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $19.80 / $22.64	Professional		$18.68	$19.80	$22.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $19.48 / $152.00	Professional		$8.99	$19.48	$152.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $154.29 / $191.70	Facility		$110.27	$154.29	$191.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.39 / $19.30	Professional		$15.50	$17.39	$19.30
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 $11.02 / $21.66 / $36.61	Professional		$11.02	$21.66	$36.61