Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $164.27 / $193.75	Facility		$94.05	$164.27	$193.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $112.24 / $164.27	Professional		$76.02	$112.24	$164.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.29 / $314.29 / $346.88	Professional		$314.29	$314.29	$346.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $81.23 / $168.11	Facility		$25.15	$81.23	$168.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $213.55 / $213.55	Professional		$213.55	$213.55	$213.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $143.53 / $320.33	Professional		$30.00	$143.53	$320.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $114.92 / $120.91	Professional		$97.68	$114.92	$120.91
United Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $231.92 / $350.64	Professional		$173.49	$231.92	$350.64