Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $23.35 / $193.75	Facility		$21.81	$23.35	$193.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $23.35 / $27.77	Professional		$20.78	$23.35	$27.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $41.51	Professional		$29.71	$29.71	$41.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $20.78 / $27.77	Facility		$11.70	$20.78	$27.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $46.06 / $51.76	Professional		$42.70	$46.06	$51.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.34 / $45.53	Professional		$30.00	$32.34	$45.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $38.81 / $40.89	Professional		$32.99	$38.81	$40.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.68 / $44.88	Professional		$23.82	$31.68	$44.88