Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $415.80 / $547.07	Facility		$19.53	$415.80	$547.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $40.40 / $119.97	Professional		$11.30	$40.40	$119.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.95 / $12.53 / $25.38	Professional	52	$5.95	$12.53	$25.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $36.79 / $68.44	Professional		$14.07	$36.79	$68.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $29.79 / $280.93	Professional		$29.79	$29.79	$280.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $30.21 / $64.95	Facility		$12.39	$30.21	$64.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $39.49 / $70.52	Professional		$18.68	$39.49	$70.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $56.77	Professional		$32.34	$32.34	$56.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $24.22 / $59.92	Professional		$16.92	$24.22	$59.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $58.76 / $73.84	Professional		$40.78	$58.76	$73.84