Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.86 / $59.86 / $59.86	Facility	26	$59.86	$59.86	$59.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $59.90 / $124.67	Professional		$39.89	$59.90	$124.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $92.52 / $115.65	Professional		$60.28	$92.52	$115.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.48 / $275.48 / $305.81	Professional		$275.48	$275.48	$305.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.16 / $155.16 / $187.68	Professional	26	$155.16	$155.16	$187.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $103.64 / $127.83	Professional		$95.01	$103.64	$127.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.69 / $103.82	Professional		$32.34	$41.69	$103.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $126.73 / $143.36	Professional		$107.72	$126.73	$143.36
United Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $63.46 / $113.55	Professional		$56.84	$63.46	$113.55