Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.16 / $290.24 / $290.24	Facility	26	$198.16	$290.24	$290.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.19 / $494.18 / $856.29	Professional		$366.19	$494.18	$856.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.12 / $262.79 / $717.71	Professional		$235.12	$262.79	$717.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.64 / $1,659.64 / $1,842.35	Professional		$1,659.64	$1,659.64	$1,842.35
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $564.27 / $564.27 / $682.50	Professional	26	$564.27	$564.27	$682.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.92 / $499.66 / $657.64	Professional		$433.92	$499.66	$657.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.00 / $423.78	Professional		$32.34	$138.00	$423.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $482.10 / $567.17 / $657.64	Professional		$482.10	$567.17	$657.64
United Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $443.82 / $889.73	Professional		$267.50	$443.82	$889.73