Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $41.20 / $41.20	Facility		$41.20	$41.20	$41.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $44.72 / $50.82	Professional		$40.65	$44.72	$50.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $40.65	Facility		$38.35	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $118.90	Professional		$93.39	$93.39	$118.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $50.82 / $65.05	Facility		$39.22	$50.82	$65.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $43.09 / $50.81	Professional		$40.65	$43.09	$50.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $37.94 / $81.67	Professional		$31.82	$37.94	$81.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $48.78 / $50.81	Professional		$40.65	$48.78	$50.81
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $56.91	Professional		$40.65	$40.65	$56.91