Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.37 / $11.37 / $22.48	Facility	26	$11.37	$11.37	$22.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $37.39 / $77.06	Professional		$29.87	$37.39	$77.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $9.27 / $18.52	Professional	26	$7.92	$9.27	$18.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.62 / $58.54	Professional	TC	$21.94	$29.62	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $58.51 / $69.45	Professional		$32.31	$58.51	$69.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $14.57 / $17.14	Professional	26	$9.71	$14.57	$17.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.59 / $42.09 / $52.31	Professional	TC	$23.59	$42.09	$52.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $94.44	Professional		$85.07	$85.07	$94.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.21 / $28.21 / $34.11	Professional	26	$28.21	$28.21	$34.11
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.95 / $50.95 / $66.23	Professional	TC	$50.95	$50.95	$66.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $71.29 / $83.29	Professional		$61.91	$71.29	$83.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $15.98 / $18.67	Professional	26	$13.88	$15.98	$18.67
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $50.94 / $58.22	Professional	TC	$48.03	$50.94	$58.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $32.34 / $66.92	Professional		$14.05	$32.34	$66.92
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 $68.13 / $80.15 / $90.07	Professional		$68.13	$80.15	$90.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $17.80 / $21.26	Professional	26	$15.14	$17.80	$21.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.99 / $62.34 / $68.81	Professional	TC	$52.99	$62.34	$68.81
United Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $39.14 / $70.04	Professional		$32.94	$39.14	$70.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $9.88 / $18.66	Professional	26	$8.85	$9.88	$18.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.63 / $27.79 / $52.36	Professional	TC	$23.63	$27.79	$52.36