Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.50 / $69.34 / $69.34	Facility	26	$39.50	$69.34	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $114.32 / $263.56	Professional		$59.67	$114.32	$263.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $108.48 / $138.99	Professional		$68.08	$108.48	$138.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $360.55 / $360.55 / $632.61	Professional		$360.55	$360.55	$632.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.57 / $104.57 / $215.41	Professional	26	$104.57	$104.57	$215.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $123.27 / $154.84	Professional		$109.94	$123.27	$154.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.76 / $120.51	Professional		$32.34	$49.76	$120.51
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 $122.27 / $143.85 / $164.87	Professional		$122.27	$143.85	$164.87
United Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $78.66 / $134.56	Professional		$65.01	$78.66	$134.56