Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $831.76	Professional		$269.15	$436.52	$831.76
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 $446.68 / $489.78 / $676.08	Professional		$446.68	$489.78	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $758.58	Professional		$229.09	$407.38	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $645.65 / $645.65	Professional	26	$524.81	$645.65	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $831.76	Professional		$426.58	$512.86	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
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 $407.38 / $562.34 / $851.14	Professional		$407.38	$562.34	$851.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $954.99	Professional		$245.47	$251.19	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $977.24	Professional		$263.03	$446.68	$977.24