Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.31 / $251.31 / $251.31	Facility	26	$251.31	$251.31	$251.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.19 / $475.00 / $717.96	Professional		$395.19	$475.00	$717.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.74 / $329.42 / $675.76	Professional		$294.74	$329.42	$675.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.43 / $1,643.43 / $1,824.36	Professional		$1,643.43	$1,643.43	$1,824.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $701.69 / $701.69 / $701.69	Professional	26	$701.69	$701.69	$701.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $545.46 / $628.10 / $823.87	Professional		$545.46	$628.10	$823.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $179.48 / $532.44	Professional		$32.34	$179.48	$532.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $603.21 / $709.66 / $823.88	Professional		$603.21	$709.66	$823.88
United Facility/Professional Professional Modifier Low / Median / High Price $335.29 / $615.41 / $1,084.83	Professional		$335.29	$615.41	$1,084.83