Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.82 / $175.93 / $233.80	Facility	26	$117.82	$175.93	$233.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $304.44 / $1,013.00	Professional		$167.24	$304.44	$1,013.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $100.17 / $331.96	Professional	26	$81.76	$100.17	$331.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $263.39 / $350.33	Professional		$181.39	$263.39	$350.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.11 / $140.38 / $183.19	Professional	26	$94.11	$140.38	$183.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $532.13 / $532.13 / $614.42	Professional		$532.13	$532.13	$614.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $351.67 / $351.67 / $651.05	Professional	26	$351.67	$351.67	$651.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.93 / $318.35 / $419.57	Professional		$283.93	$318.35	$419.57
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $142.51 / $164.10 / $172.74	Professional	26	$142.51	$164.10	$172.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $135.44 / $313.74	Professional		$32.34	$135.44	$313.74
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $364.42 / $419.57	Professional		$309.76	$364.42	$419.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $155.47 / $182.90 / $222.00	Professional	26	$155.47	$182.90	$222.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $216.97 / $386.23	Professional		$180.81	$216.97	$386.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.94 / $100.25 / $182.24	Professional	26	$93.94	$100.25	$182.24