Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $346.37 / $784.24	Facility		$63.52	$346.37	$784.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $49.85 / $288.00	Professional		$40.64	$49.85	$288.00
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 / $47.81	Professional		$40.65	$40.65	$47.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $115.96 / $177.56	Professional		$115.96	$115.96	$177.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $55.90 / $78.30	Facility		$41.20	$55.90	$78.30
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 / $65.04	Professional		$40.65	$40.65	$65.04