Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $120.23	Facility	26	$66.07	$66.07	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $741.31	Professional		$245.47	$363.08	$741.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $891.25	Professional		$537.03	$645.65	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $776.25	Professional		$426.58	$549.54	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,659.59	Professional		$1,513.56	$1,513.56	$1,659.59
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $281.84 / $281.84	Professional	26	$234.42	$281.84	$281.84
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $870.96	Professional		$371.54	$660.69	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $870.96	Professional		$588.84	$724.44	$870.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $741.31	Professional		$323.59	$323.59	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $812.83	Professional		$338.84	$416.87	$812.83