Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.65 / $22.03 / $22.22	Facility	26	$12.65	$22.03	$22.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $36.21 / $65.15	Professional		$25.85	$36.21	$65.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $18.52	Professional	26	$7.33	$8.55	$18.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $24.08 / $46.63	Professional	TC	$18.53	$24.08	$46.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $49.67 / $58.43	Professional		$28.07	$49.67	$58.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $14.20 / $16.96	Professional	26	$9.31	$14.20	$16.96
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.36 / $34.93 / $41.30	Professional	TC	$19.36	$34.93	$41.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $108.03 / $119.92	Professional		$108.03	$108.03	$119.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.92 / $46.92 / $48.59	Professional	26	$46.92	$46.92	$48.59
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $61.11 / $61.11 / $71.33	Professional	TC	$61.11	$61.11	$71.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $60.84 / $71.08	Professional		$52.83	$60.84	$71.08
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $15.98 / $18.17	Professional	26	$13.88	$15.98	$18.17
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $22.95 / $22.95 / $22.95	Professional	50	$22.95	$22.95	$22.95
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.96 / $41.32 / $47.22	Professional	TC	$38.96	$41.32	$47.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $32.34 / $51.31	Professional		$14.05	$32.34	$51.31
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 $57.06 / $67.13 / $76.23	Professional		$57.06	$67.13	$76.23
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $17.13 / $21.26	Professional	26	$14.56	$17.13	$21.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.51 / $50.01 / $54.97	Professional	TC	$42.51	$50.01	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $33.06 / $59.16	Professional		$28.35	$33.06	$59.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.11 / $17.23	Professional	26	$8.17	$9.11	$17.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $23.94 / $42.84	Professional	TC	$19.89	$23.94	$42.84