Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.67 / $175.67 / $175.67	Facility	26	$175.67	$175.67	$175.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $126.13 / $191.32	Professional		$104.87	$126.13	$191.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.65 / $74.31 / $140.06	Professional	26	$62.65	$74.31	$140.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $160.80 / $179.52	Professional		$131.36	$160.80	$179.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.71 / $118.39 / $132.16	Professional	26	$96.71	$118.39	$132.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $161.88 / $185.02	Professional		$152.63	$161.88	$185.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.81 / $114.35 / $130.68	Professional	26	$107.81	$114.35	$130.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.83 / $152.71	Professional		$32.34	$47.83	$152.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.17 / $193.86 / $224.91	Professional		$177.17	$193.86	$224.91
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $125.73 / $137.00 / $163.02	Professional	26	$125.73	$137.00	$163.02
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $114.34 / $206.71	Professional		$91.30	$114.34	$206.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.37 / $73.34 / $131.24	Professional	26	$66.37	$73.34	$131.24