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 $357.69 / $475.00 / $837.96	Professional		$357.69	$475.00	$837.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $256.97 / $732.18	Professional		$229.92	$256.97	$732.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.41 / $1,562.41 / $1,734.42	Professional		$1,562.41	$1,562.41	$1,734.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $530.77 / $530.77 / $641.98	Professional	26	$530.77	$530.77	$641.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.44 / $491.06 / $643.03	Professional		$426.44	$491.06	$643.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.00 / $416.59	Professional		$32.34	$138.00	$416.59
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 $472.79 / $556.22 / $643.03	Professional		$472.79	$556.22	$643.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $449.31 / $967.95	Professional		$263.20	$449.31	$967.95