Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.01 / $211.01 / $211.01	Facility	26	$211.01	$211.01	$211.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $365.01 / $365.01 / $441.49	Professional	26	$365.01	$365.01	$441.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,387.45 / $1,387.45 / $1,387.45	Facility	26	$1,387.45	$1,387.45	$1,387.45