Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $109.65	Professional		$45.71	$57.54	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $128.82	Professional		$93.33	$109.65	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $151.36	Professional		$53.70	$91.20	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $309.03	Professional		$275.42	$275.42	$309.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $186.21 / $186.21	Professional	26	$154.88	$186.21	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $134.90	Professional		$67.61	$112.20	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $38.90	Professional		$18.62	$32.36	$38.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $128.82	Professional		$85.11	$114.82	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $109.65	Professional		$56.23	$56.23	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $114.82	Professional		$56.23	$63.10	$114.82