Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $83.04 / $99.15	Facility		$83.04	$83.04	$99.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $44.39 / $80.20	Professional		$40.35	$44.39	$80.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $63.07 / $74.19	Professional		$42.11	$63.07	$74.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $89.12 / $590.57	Professional		$89.12	$89.12	$590.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $80.20 / $92.24	Facility		$37.40	$80.20	$92.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $73.76 / $93.70	Professional		$64.05	$73.76	$93.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $61.97	Professional		$32.34	$32.34	$61.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $82.89 / $93.70	Professional		$70.45	$82.89	$93.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $45.60 / $81.59	Professional		$29.82	$45.60	$81.59