Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.16 / $198.16 / $198.16	Facility	26	$198.16	$198.16	$198.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.20 / $603.00 / $1,057.60	Professional		$401.20	$603.00	$1,057.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.61 / $327.02 / $750.15	Professional		$292.61	$327.02	$750.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.02 / $1,611.02 / $1,788.39	Professional		$1,611.02	$1,611.02	$1,788.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $421.43 / $421.43 / $509.74	Professional	26	$421.43	$421.43	$509.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $616.44 / $812.17	Professional		$535.33	$616.44	$812.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $123.85 / $581.02	Professional		$32.34	$123.85	$581.02
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 $563.47 / $700.76 / $812.17	Professional		$563.47	$700.76	$812.17
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $448.15 / $944.89	Professional		$336.82	$448.15	$944.89