Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $40.65 / $56.57	Professional		$36.00	$40.65	$56.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $56.24 / $70.29	Professional		$39.75	$56.24	$70.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $164.97 / $198.83	Professional		$164.97	$164.97	$198.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $53.07 / $66.13	Facility		$38.71	$53.07	$66.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $61.71 / $70.52	Professional		$58.18	$61.71	$70.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.42	Professional		$32.34	$32.34	$65.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $53.73 / $61.30	Professional		$45.90	$53.73	$61.30
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $54.00 / $73.45	Professional		$38.97	$54.00	$73.45