Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $196.36 / $196.36 / $196.36	Facility	26	$196.36	$196.36	$196.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.47 / $577.39 / $912.41	Professional		$365.47	$577.39	$912.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $312.87 / $706.86	Professional		$279.94	$312.87	$706.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.92 / $1,417.92 / $1,574.02	Professional		$1,417.92	$1,417.92	$1,574.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $471.35 / $471.35 / $471.35	Professional	26	$471.35	$471.35	$471.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.37 / $590.01 / $776.61	Professional		$512.37	$590.01	$776.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $136.75 / $499.22	Professional		$32.34	$136.75	$499.22
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.44 / $669.93 / $776.62	Professional		$569.44	$669.93	$776.62
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $424.71 / $881.44	Professional		$320.88	$424.71	$881.44