Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.96 / $187.96 / $187.96	Facility		$187.96	$187.96	$187.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $85.82 / $399.00	Professional		$68.75	$85.82	$399.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $117.25 / $153.31	Professional		$75.67	$117.25	$153.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $279.52 / $310.30	Professional		$279.52	$279.52	$310.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $156.97 / $186.23	Facility		$70.68	$156.97	$186.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $131.65 / $165.11	Professional		$117.41	$131.65	$165.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.12 / $130.90	Professional		$32.34	$46.12	$130.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $152.76 / $180.18	Professional		$129.85	$152.76	$180.18
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $84.36 / $156.33	Professional		$80.12	$84.36	$156.33