Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.79 / $115.55 / $163.51	Facility		$92.79	$115.55	$163.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $74.81 / $212.47	Professional		$57.47	$74.81	$212.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $94.27 / $125.10	Professional		$61.74	$94.27	$125.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $168.92 / $240.37	Professional		$168.92	$168.92	$240.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $126.73 / $180.75	Facility		$57.17	$126.73	$180.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $107.12 / $146.78	Professional		$95.54	$107.12	$146.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $35.51 / $106.49	Professional		$31.87	$35.51	$106.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $123.30 / $146.79	Professional		$104.81	$123.30	$146.79
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $77.09 / $128.53	Professional		$64.23	$77.09	$128.53