Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.57 / $197.57 / $197.57	Facility	26	$197.57	$197.57	$197.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $188.48 / $355.02	Professional		$155.55	$188.48	$355.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.75 / $75.36 / $160.19	Professional	26	$62.75	$75.36	$160.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $262.72 / $336.61	Professional		$171.54	$262.72	$336.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.06 / $118.05 / $147.94	Professional	26	$80.06	$118.05	$147.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.53 / $464.53 / $515.67	Professional		$464.53	$464.53	$515.67
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $260.97 / $260.97 / $315.64	Professional	26	$260.97	$260.97	$315.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $313.58 / $356.04	Professional		$279.68	$313.58	$356.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $121.16 / $128.50 / $146.86	Professional	26	$121.16	$128.50	$146.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.28 / $169.53	Professional		$32.34	$80.28	$169.53
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 $306.85 / $361.00 / $413.27	Professional		$306.85	$361.00	$413.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $131.59 / $154.81 / $185.70	Professional	26	$131.59	$154.81	$185.70
United Facility/Professional Professional Modifier Low / Median / High Price $176.66 / $188.47 / $337.27	Professional		$176.66	$188.47	$337.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.25 / $84.36 / $151.94	Professional	26	$76.25	$84.36	$151.94