Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.43 / $65.43 / $86.44	Facility	26	$48.43	$65.43	$86.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $109.51 / $375.95	Professional		$82.68	$109.51	$375.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $135.25 / $177.27	Professional		$88.84	$135.25	$177.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $399.71	Professional		$267.12	$267.12	$399.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.00 / $104.00 / $175.06	Professional	26	$104.00	$104.00	$175.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.37 / $157.38 / $191.18	Professional		$140.37	$157.38	$191.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.20 / $153.84	Professional		$32.34	$60.20	$153.84
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 $155.47 / $182.90 / $209.80	Professional		$155.47	$182.90	$209.80
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $99.39 / $184.06	Professional		$92.03	$99.39	$184.06