Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $257.04	Facility	26	$251.19	$251.19	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $724.44	Professional		$295.12	$457.09	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $870.96	Professional		$524.81	$616.60	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $707.95	Professional		$295.12	$416.87	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Professional	26	$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $851.14	Professional		$436.52	$630.96	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $851.14	Professional		$524.81	$707.95	$851.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $691.83	Professional		$309.03	$309.03	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $1,288.25	Professional		$338.84	$616.60	$1,288.25