Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $501.19	Professional		$107.15	$190.55	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $263.03	Professional		$177.83	$208.93	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $316.23	Professional		$112.20	$177.83	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Professional		$371.54	$371.54	$380.19
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	26	$288.40	$288.40	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $323.59	Professional		$125.89	$213.80	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $245.47	Professional		$162.18	$234.42	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $239.88	Professional		$107.15	$107.15	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $257.04	Professional		$123.03	$128.82	$257.04