Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $165.96	Professional		$66.07	$83.18	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $204.17	Professional		$125.89	$147.91	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $194.98	Professional		$87.10	$125.89	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Professional		$234.42	$234.42	$263.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $97.72 / $97.72	Professional	26	$81.28	$97.72	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $194.98	Professional		$87.10	$154.88	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $52.48	Professional		$18.20	$33.11	$52.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $194.98	Professional		$123.03	$165.96	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $223.87	Professional		$79.43	$81.28	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $199.53	Professional		$89.13	$104.71	$199.53