Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $323.59	Professional		$114.82	$199.53	$323.59
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 $223.87 / $263.03 / $371.54	Professional		$223.87	$263.03	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $354.81	Professional		$162.18	$239.88	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,122.02	Professional		$1,023.29	$1,023.29	$1,122.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $562.34 / $562.34	Professional	26	$426.58	$562.34	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $398.11	Professional		$173.78	$281.84	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
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 $234.42 / $295.12 / $354.81	Professional		$234.42	$295.12	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $457.09	Professional		$131.83	$138.04	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $407.38	Professional		$154.88	$204.17	$407.38