Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.04 / $97.04 / $97.04	Facility	26	$97.04	$97.04	$97.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $121.96 / $254.55	Professional		$96.60	$121.96	$254.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $39.39 / $81.55	Professional	26	$20.17	$39.39	$81.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $191.68 / $224.67	Professional		$102.60	$191.68	$224.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $56.58 / $73.51	Professional	26	$27.78	$56.58	$73.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $251.17 / $278.82	Professional		$251.17	$251.17	$278.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.65 / $91.65 / $100.54	Professional	26	$91.65	$91.65	$100.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $221.26 / $258.52	Professional		$192.14	$221.26	$258.52
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.85 / $64.54 / $73.76	Professional	26	$60.85	$64.54	$73.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.90 / $209.47	Professional		$32.34	$64.90	$209.47
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.53 / $250.03 / $291.52	Professional		$212.53	$250.03	$291.52
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $65.80 / $77.41 / $93.55	Professional	26	$65.80	$77.41	$93.55
United Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $123.07 / $231.89	Professional		$104.55	$123.07	$231.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $41.86 / $66.98	Professional	26	$23.15	$41.86	$66.98