Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $323.59	Professional		$128.82	$186.21	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $354.81	Professional	26	$57.54	$75.86	$354.81
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 $275.42 / $323.59 / $380.19	Professional		$275.42	$323.59	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $144.54 / $162.18	Professional	26	$123.03	$144.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $457.09	Professional		$162.18	$263.03	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $162.18	Professional	26	$74.13	$117.49	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $512.86	Professional		$467.74	$467.74	$512.86
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $316.23 / $316.23	Professional	26	$263.03	$316.23	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $398.11	Professional		$190.55	$323.59	$398.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $138.04 / $169.82	Professional	26	$77.62	$138.04	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
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 $239.88 / $331.13 / $380.19	Professional		$239.88	$331.13	$380.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $162.18	Professional	26	$102.33	$147.91	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $354.81	Professional		$165.96	$165.96	$354.81
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $154.88	Professional	26	$72.44	$72.44	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $354.81	Professional		$177.83	$186.21	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $81.28 / $151.36	Professional	26	$75.86	$81.28	$151.36