Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $309.03	Professional		$66.07	$104.71	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $100.00	Professional	26	$39.81	$57.54	$100.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $151.36	Professional		$117.49	$144.54	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $85.11	Professional	26	$64.57	$79.43	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $134.90	Professional		$67.61	$107.15	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $63.10 / $83.18	Professional	26	$40.74	$63.10	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $151.36	Professional		$85.11	$125.89	$151.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $67.61 / $81.28	Professional	26	$45.71	$67.61	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $165.96	Professional		$107.15	$120.23	$165.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $66.07 / $95.50	Professional	26	$57.54	$66.07	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Professional		$70.79	$70.79	$120.23
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $67.61	Professional	26	$38.90	$38.90	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $120.23	Professional		$67.61	$93.33	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $79.43	Professional	26	$43.65	$58.88	$79.43