Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.63 / $58.63 / $58.63	Facility	26	$58.63	$58.63	$58.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $108.66 / $165.38	Professional		$79.30	$108.66	$165.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $137.84 / $166.22	Professional		$89.32	$137.84	$166.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $236.32 / $262.33	Professional		$236.32	$236.32	$262.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.11 / $81.11 / $98.11	Professional	26	$81.11	$81.11	$98.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $149.34 / $174.49	Professional		$129.69	$149.34	$174.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.83 / $140.77	Professional		$32.34	$40.83	$140.77
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $167.83 / $192.29	Professional		$142.66	$167.83	$192.29
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $105.18 / $185.50	Professional		$92.75	$105.18	$185.50