Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $275.42	Professional		$56.23	$117.49	$275.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $154.88	Professional		$107.15	$125.89	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $275.42	Professional		$91.20	$134.90	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $512.86	Professional		$389.05	$389.05	$512.86
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $309.03 / $309.03	Professional	26	$263.03	$309.03	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $190.55	Professional		$77.62	$128.82	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $52.48	Professional		$22.39	$33.11	$52.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $263.03	Professional		$95.50	$141.25	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $288.40	Professional		$64.57	$64.57	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $346.74	Professional		$93.33	$173.78	$346.74