Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $77.25 / $4,000.00	Facility		$77.25	$77.25	$4,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $36.76 / $50.07	Professional		$27.53	$36.76	$50.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $45.85 / $71.59	Professional		$31.13	$45.85	$71.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $190.51 / $310.97	Professional		$190.51	$190.51	$310.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $46.21 / $100.66	Facility		$28.95	$46.21	$100.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $42.55 / $48.52	Professional		$40.03	$42.55	$48.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $32.34 / $45.32	Professional		$21.30	$32.34	$45.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $994.49 / $1,373.54 / $1,677.94	Facility		$994.49	$1,373.54	$1,677.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $37.81 / $49.99	Professional		$36.97	$37.81	$49.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $54.50 / $78.69	Professional		$29.64	$54.50	$78.69