Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $239.88	Facility	26	$234.42	$234.42	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $398.11	Professional		$131.83	$208.93	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $95.50 / $223.87	Professional	26	$52.48	$95.50	$223.87
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 $269.15 / $316.23 / $436.52	Professional		$269.15	$316.23	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $177.83 / $245.47	Professional	26	$147.91	$177.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $416.87	Professional		$177.83	$269.15	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $114.82 / $181.97	Professional	26	$63.10	$114.82	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Professional		$363.08	$363.08	$512.86
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $302.00 / $302.00 / $346.74	Professional	26	$302.00	$302.00	$346.74
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $467.74	Professional		$186.21	$331.13	$467.74
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $158.49 / $204.17	Professional	26	$75.86	$158.49	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
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 $281.84 / $346.74 / $426.58	Professional		$281.84	$346.74	$426.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $186.21 / $234.42	Professional	26	$97.72	$186.21	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $457.09	Professional		$158.49	$158.49	$457.09
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $194.98	Professional	26	$87.10	$87.10	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $398.11	Professional		$186.21	$208.93	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $100.00 / $162.18	Professional	26	$56.23	$100.00	$162.18