Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $131.83 / $138.04	Facility	26	$114.82	$131.83	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $275.42	Professional		$95.50	$165.96	$275.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	26	$5,495.41	$5,495.41	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $288.40	Professional		$177.83	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $281.84	Professional		$131.83	$190.55	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $676.08	Professional		$616.60	$616.60	$676.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $407.38 / $407.38	Professional	26	$190.55	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $131.83	Facility	26	$114.82	$114.82	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $316.23	Professional		$131.83	$223.87	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	26	$5,495.41	$5,495.41	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $288.40	Professional		$190.55	$234.42	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $416.87	Professional		$104.71	$109.65	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $389.05	Professional		$128.82	$181.97	$389.05