Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.76 / $106.76 / $106.76	Facility	26	$106.76	$106.76	$106.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $169.28 / $169.28 / $204.75	Professional	26	$169.28	$169.28	$204.75
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,050.74 / $1,050.74 / $1,050.74	Facility	26	$1,050.74	$1,050.74	$1,050.74