Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $34.77 / $57.46	Professional		$27.42	$34.77	$57.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $43.64 / $54.48	Professional		$31.89	$43.64	$54.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $110.73 / $122.92	Professional		$110.73	$110.73	$122.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $57.46 / $68.12	Facility		$25.95	$57.46	$68.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $70.87 / $70.87	Professional		$70.87	$70.87	$70.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $32.34 / $3,900.00	Professional		$14.40	$32.34	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $56.86 / $58.27	Professional		$48.33	$56.86	$58.27
United Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $54.84 / $101.04	Professional		$48.44	$54.84	$101.04