Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.94 / $315.20 / $315.20	Facility		$219.94	$315.20	$315.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $100.73 / $185.22	Professional		$82.48	$100.73	$185.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $136.16 / $180.35	Professional		$88.41	$136.16	$180.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $370.00 / $410.74	Professional		$370.00	$370.00	$410.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $181.36 / $221.93	Facility		$82.48	$181.36	$221.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $154.99 / $192.76	Professional		$138.24	$154.99	$192.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.01 / $153.16	Professional		$32.34	$69.01	$153.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $179.47 / $210.83	Professional		$152.55	$179.47	$210.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $99.73 / $186.94	Professional		$93.47	$99.73	$186.94