Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $891.25	Professional		$295.12	$467.74	$891.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $724.44	Professional		$467.74	$512.86	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $724.44	Professional		$245.47	$407.38	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Professional		$1,862.09	$1,862.09	$2,041.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $851.14 / $1,023.29 / $1,023.29	Professional	26	$851.14	$1,023.29	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $831.76	Professional		$446.68	$549.54	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $707.95	Professional		$457.09	$588.84	$707.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $707.95	Professional		$263.03	$269.15	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $741.31	Professional		$275.42	$389.05	$741.31