Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.99 / $96.99 / $96.99	Facility	26	$96.99	$96.99	$96.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $124.20 / $198.49	Professional		$91.60	$124.20	$198.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $153.75 / $192.18	Professional		$95.07	$153.75	$192.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $164.77 / $209.63	Professional		$151.04	$164.77	$209.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.64 / $165.20	Professional		$32.34	$87.64	$165.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $195.91 / $227.13	Professional		$166.52	$195.91	$227.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $115.73 / $214.20	Professional		$100.69	$115.73	$214.20