Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.02 / $58.02 / $58.02	Facility	26	$58.02	$58.02	$58.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $56.13 / $93.66	Professional		$29.74	$56.13	$93.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $25.22 / $46.37	Professional	26	$14.51	$25.22	$46.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $73.12 / $113.15	Professional		$51.62	$73.12	$113.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $36.46 / $46.00	Professional	26	$25.74	$36.46	$46.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $193.10 / $214.36	Professional		$193.10	$193.10	$214.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $121.67 / $121.67 / $147.16	Professional	26	$121.67	$121.67	$147.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $83.79 / $109.78	Professional		$74.73	$83.79	$109.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $43.34 / $90.58	Professional	26	$35.76	$43.34	$90.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $36.26 / $81.94	Professional		$19.67	$36.26	$81.94
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 $81.52 / $95.90 / $109.78	Professional		$81.52	$95.90	$109.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $45.21 / $54.04	Professional	26	$38.43	$45.21	$54.04
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $75.56 / $139.85	Professional		$49.08	$75.56	$139.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $29.61 / $56.20	Professional	26	$23.46	$29.61	$56.20