Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.28 / $91.28 / $91.28	Facility	26	$91.28	$91.28	$91.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $98.03 / $292.07	Professional		$53.83	$98.03	$292.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $46.89 / $73.73	Professional	26	$30.69	$46.89	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $96.90 / $148.24	Professional		$64.59	$96.90	$148.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.93 / $57.98 / $76.65	Professional	26	$40.93	$57.98	$76.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $198.50 / $220.36	Professional		$198.50	$198.50	$220.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.88 / $149.88 / $181.29	Professional	26	$149.88	$149.88	$181.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $101.14 / $135.82	Professional		$90.21	$101.14	$135.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.03 / $59.43 / $67.92	Professional	26	$56.03	$59.43	$67.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $32.64 / $99.94	Professional		$29.34	$32.64	$99.94
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $117.14 / $135.82	Professional		$99.57	$117.14	$135.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $61.14 / $71.93 / $86.24	Professional	26	$61.14	$71.93	$86.24
United Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $101.09 / $191.86	Professional		$63.16	$101.09	$191.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $51.40 / $100.41	Professional	26	$36.81	$51.40	$100.41