Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $288.40 / $288.40	Facility	26	$199.53	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $977.24	Professional		$281.84	$478.63	$977.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $691.83	Professional		$457.09	$489.78	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $741.31	Professional		$234.42	$380.19	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,862.09	Professional		$1,659.59	$1,659.59	$1,862.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $562.34 / $676.08 / $676.08	Professional	26	$562.34	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $977.24	Professional		$436.52	$524.81	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $831.76	Professional		$416.87	$562.34	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $977.24	Professional		$245.47	$251.19	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $933.25	Professional		$269.15	$446.68	$933.25