Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.86 / $38.86 / $38.86	Facility	26	$38.86	$38.86	$38.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $118.02 / $189.17	Professional		$82.95	$118.02	$189.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $16.61 / $31.39	Professional	26	$13.12	$16.61	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $136.94 / $174.98	Professional		$80.50	$136.94	$174.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $24.16 / $28.42	Professional	26	$17.05	$24.16	$28.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $174.20 / $193.38	Professional		$174.20	$174.20	$193.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $38.79 / $46.92	Professional	26	$38.79	$38.79	$46.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $189.30 / $221.18	Professional		$164.39	$189.30	$221.18
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $27.66 / $32.32	Professional	26	$24.02	$27.66	$32.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $32.34 / $159.22	Professional		$24.29	$32.34	$159.22
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $156.94	Facility	26	$156.94	$156.94	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $215.78 / $237.05	Professional		$183.41	$215.78	$237.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $30.83 / $36.00	Professional	26	$26.21	$30.83	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $94.62 / $169.31	Professional		$79.13	$94.62	$169.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $15.97 / $29.45	Professional	26	$15.16	$15.97	$29.45