Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.27 / $164.27 / $164.27	Facility		$164.27	$164.27	$164.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $225.65 / $351.32	Professional		$20.10	$225.65	$351.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $173.40 / $173.40	Professional		$173.40	$173.40	$173.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $221.16 / $386.45	Facility		$20.10	$221.16	$386.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,001.90 / $14,999.85 / $29,999.70	Professional		$10,001.90	$14,999.85	$29,999.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $143.53 / $3,500.00	Professional		$122.00	$143.53	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $329.84 / $329.84	Professional		$272.44	$329.84	$329.84
United Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $228.85 / $384.71	Professional		$164.21	$228.85	$384.71