Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $136.16 / $200.39	Professional		$64.95	$136.16	$200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $137.19 / $249.85	Professional		$80.73	$137.19	$249.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.59 / $379.59 / $457.50	Professional		$379.59	$379.59	$457.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $202.96 / $291.76	Professional		$104.08	$202.96	$291.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.90	Professional		$32.34	$32.34	$236.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $138.41 / $239.25	Professional		$96.52	$138.41	$239.25
United Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $211.00 / $304.60	Professional		$152.30	$211.00	$304.60