Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.76 / $166.37 / $219.63	Facility	26	$122.76	$166.37	$219.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $209.25 / $471.00	Professional		$133.50	$209.25	$471.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $295.38 / $378.46	Professional		$187.17	$295.38	$378.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.40 / $506.40 / $562.15	Professional		$506.40	$506.40	$562.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $329.12 / $329.12 / $360.45	Professional	26	$329.12	$329.12	$360.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.61 / $339.29 / $400.03	Professional		$302.61	$339.29	$400.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.96 / $333.37	Professional		$32.34	$152.96	$333.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $393.88 / $456.16	Professional		$334.80	$393.88	$456.16
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $213.18 / $425.69	Professional		$202.46	$213.18	$425.69