Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.11 / $101.11 / $101.11	Facility	26	$101.11	$101.11	$101.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $292.70 / $292.70 / $354.04	Professional	26	$292.70	$292.70	$354.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,478.40 / $3,478.40 / $3,478.40	Facility	26	$3,478.40	$3,478.40	$3,478.40