Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $309.33 / $309.33	Facility		$309.33	$309.33	$309.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $202.78 / $397.83	Professional		$136.55	$202.78	$397.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $304.64 / $402.93	Professional		$203.76	$304.64	$402.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $950.68 / $950.68 / $1,055.33	Professional		$950.68	$950.68	$1,055.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $337.24 / $477.40	Facility		$136.55	$337.24	$477.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $215.42 / $391.85	Professional		$197.47	$215.42	$391.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.54 / $215.44	Professional		$32.34	$72.54	$215.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.50 / $293.18 / $391.85	Professional		$273.50	$293.18	$391.85
United Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $237.88 / $423.63	Professional		$212.05	$237.88	$423.63