Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.75 / $20.75 / $20.75	Facility	26	$20.75	$20.75	$20.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.99 / $65.06	Professional		$32.36	$37.99	$65.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $51.68 / $62.31	Professional		$36.71	$51.68	$62.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $113.43 / $125.92	Professional		$113.43	$113.43	$125.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.78 / $44.78 / $44.78	Professional	26	$44.78	$44.78	$44.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $63.31 / $73.97	Professional		$54.98	$63.31	$73.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $32.34 / $59.42	Professional		$12.97	$32.34	$59.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $156.94	Facility	26	$156.94	$156.94	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $69.19 / $76.90	Professional		$58.81	$69.19	$76.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $36.86 / $65.97	Professional		$24.85	$36.86	$65.97