Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $74.13	Facility	26	$39.81	$39.81	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $269.15	Professional		$60.26	$141.25	$269.15
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 $107.15 / $125.89 / $158.49	Professional		$107.15	$125.89	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $190.55	Professional		$67.61	$107.15	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $630.96	Professional		$363.08	$363.08	$630.96
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $213.80 / $213.80	Professional	26	$104.71	$213.80	$213.80
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $69.18	Facility	26	$39.81	$39.81	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $194.98	Professional		$72.44	$128.82	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $45.71	Professional		$21.88	$32.36	$45.71
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 $97.72 / $141.25 / $147.91	Professional		$97.72	$141.25	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $151.36	Professional		$64.57	$64.57	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $141.25	Professional		$64.57	$79.43	$141.25