Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.72 / $97.81 / $128.31	Facility	26	$72.72	$97.81	$128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $135.12 / $353.78	Professional		$108.99	$135.12	$353.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $173.12 / $234.05	Professional		$120.60	$173.12	$234.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.73 / $317.73 / $367.30	Professional		$317.73	$317.73	$367.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $121.66 / $121.66 / $260.20	Professional	26	$121.66	$121.66	$260.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $201.51 / $234.63	Professional		$111.01	$201.51	$234.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.29 / $208.57	Professional		$32.34	$90.29	$208.57
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 $207.28 / $243.86 / $276.43	Professional		$207.28	$243.86	$276.43
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $130.35 / $238.38	Professional		$120.18	$130.35	$238.38