Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.58 / $108.58 / $108.58	Facility	26	$108.58	$108.58	$108.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $130.79 / $213.14	Professional		$93.78	$130.79	$213.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.57 / $45.53 / $85.14	Professional	26	$36.57	$45.53	$85.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $168.85 / $201.74	Professional		$94.64	$168.85	$201.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.22 / $67.19 / $79.04	Professional	26	$44.22	$67.19	$79.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.24 / $336.24 / $373.26	Professional		$336.24	$336.24	$373.26
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $176.33 / $176.33 / $213.28	Professional	26	$176.33	$176.33	$213.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $205.88 / $240.56	Professional		$178.79	$205.88	$240.56
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $76.81 / $86.90	Professional	26	$66.70	$76.81	$86.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.62 / $175.54	Professional		$32.34	$75.62	$175.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $224.68 / $255.67	Professional		$190.98	$224.68	$255.67
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $71.62 / $84.26 / $99.98	Professional	26	$71.62	$84.26	$99.98
United Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $115.14 / $206.04	Professional		$95.31	$115.14	$206.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $45.98 / $83.26	Professional	26	$40.85	$45.98	$83.26