Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.50 / $167.50 / $167.50	Facility	26	$167.50	$167.50	$167.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $333.27 / $333.27 / $403.10	Professional	26	$333.27	$333.27	$403.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $5,551.62	Facility	26	$5,551.62	$5,551.62	$5,551.62