Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.01 / $218.01 / $218.01	Facility	26	$218.01	$218.01	$218.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.69 / $475.00 / $868.87	Professional		$368.69	$475.00	$868.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.74 / $140.00 / $268.36	Professional	26	$95.74	$140.00	$268.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.79 / $265.76 / $643.66	Professional		$237.79	$265.76	$643.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $79.14 / $160.44	Professional	26	$70.81	$79.14	$160.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.24 / $1,654.24 / $1,836.36	Professional		$1,654.24	$1,654.24	$1,836.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $604.83 / $604.83 / $731.55	Professional	26	$604.83	$604.83	$731.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.45 / $509.49 / $668.33	Professional		$442.45	$509.49	$668.33
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $133.96 / $154.26 / $180.24	Professional	26	$133.96	$154.26	$180.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $136.26 / $482.02	Professional		$32.34	$136.26	$482.02
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 $490.25 / $576.77 / $668.33	Professional		$490.25	$576.77	$668.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $145.56 / $171.25 / $207.01	Professional	26	$145.56	$171.25	$207.01
United Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $417.49 / $880.23	Professional		$270.56	$417.49	$880.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $91.31 / $172.05	Professional	26	$77.61	$91.31	$172.05