Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $105.63 / $4,000.00	Facility		$105.63	$105.63	$4,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $41.16 / $62.55	Professional		$33.97	$41.16	$62.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $48.77 / $62.49	Professional		$36.58	$48.77	$62.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $134.31 / $235.81	Professional		$134.31	$134.31	$235.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $49.36 / $68.08	Facility		$34.22	$49.36	$68.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $59.43 / $67.92	Professional		$56.03	$59.43	$67.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $32.34 / $60.68	Professional		$28.08	$32.34	$60.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $51.74 / $63.13	Professional		$48.16	$51.74	$63.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $50.47 / $64.61	Professional		$36.10	$50.47	$64.61