Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $177.83 / $177.83	Facility	26	$173.78	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $309.03	Professional		$107.15	$151.36	$309.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	26	$2,754.23	$2,754.23	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $338.84	Professional		$208.93	$245.47	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $281.84	Professional		$134.90	$204.17	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $457.09	Professional		$416.87	$416.87	$457.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $269.15 / $269.15	Professional	26	$158.49	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $309.03	Professional		$131.83	$251.19	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	26	$2,754.23	$2,754.23	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $323.59	Professional		$218.78	$275.42	$323.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $323.59	Professional		$123.03	$123.03	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $295.12	Professional		$128.82	$158.49	$295.12