Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $141.16 / $210.02	Professional		$81.94	$141.16	$210.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $136.60 / $182.51	Professional		$98.23	$136.60	$182.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.92 / $276.92 / $296.10	Professional		$276.92	$276.92	$296.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $157.82 / $215.87	Facility		$90.95	$157.82	$215.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $172.39 / $208.96	Professional		$128.63	$172.39	$208.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.25	Professional		$32.34	$32.34	$188.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $149.53 / $198.35	Professional		$121.74	$149.53	$198.35
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 $103.58 / $138.00 / $200.90	Professional		$103.58	$138.00	$200.90