Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.60 / $142.60 / $142.60	Facility	26	$142.60	$142.60	$142.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $245.10 / $245.10 / $296.45	Professional	26	$245.10	$245.10	$296.45
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