Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.89 / $69.89 / $69.89	Facility	26	$69.89	$69.89	$69.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $166.90 / $268.89	Professional		$112.73	$166.90	$268.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $201.16 / $248.74	Professional		$108.60	$201.16	$248.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $210.66 / $233.85	Professional		$210.66	$210.66	$233.85
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $63.48 / $76.78	Professional	26	$63.48	$63.48	$76.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $229.24 / $267.83	Professional		$199.07	$229.24	$267.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.67 / $193.52	Professional		$32.34	$48.67	$193.52
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 $223.58 / $263.04 / $302.88	Professional		$223.58	$263.04	$302.88
United Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $137.18 / $229.61	Professional		$110.96	$137.18	$229.61