Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $245.47	Professional		$97.72	$123.03	$245.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility	26	$9,332.54	$9,332.54	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $309.03	Professional		$186.21	$218.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $295.12	Professional		$138.04	$199.53	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $630.96	Professional		$575.44	$575.44	$630.96
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $309.03 / $371.54 / $371.54	Professional	26	$309.03	$371.54	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $338.84	Professional		$147.91	$239.88	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility	26	$9,332.54	$9,332.54	$9,332.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $309.03	Professional		$199.53	$251.19	$309.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $436.52	Professional		$112.20	$114.82	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $398.11	Professional		$131.83	$186.21	$398.11