Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.46 / $44.72 / $44.72	Facility	26	$30.46	$44.72	$44.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $147.40 / $570.00	Professional		$63.46	$147.40	$570.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $104.00 / $395.04	Professional	26	$14.79	$104.00	$395.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $45.35 / $98.49	Professional		$40.57	$45.35	$98.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $11.04 / $22.24	Professional	26	$9.88	$11.04	$22.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.89 / $334.89 / $371.76	Professional		$334.89	$334.89	$371.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $96.57 / $96.57 / $121.57	Professional	26	$96.57	$96.57	$121.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $83.58 / $111.09	Professional		$72.58	$83.58	$111.09
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $19.80 / $22.64	Professional	26	$18.68	$19.80	$22.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $32.34 / $70.95	Professional		$21.22	$32.34	$70.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $95.90 / $111.09	Professional		$81.52	$95.90	$111.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $23.98 / $28.82	Professional	26	$20.38	$23.98	$28.82
United Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $56.24 / $118.33	Professional		$45.40	$56.24	$118.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $15.16 / $25.12	Professional	26	$10.13	$15.16	$25.12