Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.47 / $45.88 / $46.76	Facility	26	$40.47	$45.88	$46.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $91.11 / $197.00	Professional		$71.84	$91.11	$197.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $140.06 / $177.34	Professional		$75.98	$140.06	$177.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.56 / $229.56 / $394.74	Professional		$229.56	$229.56	$394.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.59 / $145.59 / $145.88	Professional	26	$145.59	$145.59	$145.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $166.55 / $194.61	Professional		$144.63	$166.55	$194.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $32.57 / $156.57	Professional		$29.23	$32.57	$156.57
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.62 / $192.49 / $223.76	Professional		$163.62	$192.49	$223.76
United Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $96.52 / $171.32	Professional		$79.62	$96.52	$171.32