Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.28 / $31.28 / $31.28	Facility	26	$31.28	$31.28	$31.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $52.27 / $100.66	Professional		$35.67	$52.27	$100.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $13.32 / $29.90	Professional	26	$10.60	$13.32	$29.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $36.53 / $72.01	Professional	TC	$25.05	$36.53	$72.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $67.34 / $79.23	Professional		$38.79	$67.34	$79.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $19.76 / $23.25	Professional	26	$13.56	$19.76	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $45.67 / $55.39	Professional	TC	$25.24	$45.67	$55.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $110.73 / $122.92	Professional		$110.73	$110.73	$122.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.32 / $53.32 / $79.97	Professional	26	$53.32	$53.32	$79.97
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $42.95 / $57.41	Professional	TC	$42.95	$42.95	$57.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $77.50 / $94.06	Professional		$69.91	$77.50	$94.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $22.12 / $25.84	Professional	26	$19.21	$22.12	$25.84
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $53.78 / $61.46	Professional	TC	$50.70	$53.78	$61.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $32.34 / $68.13	Professional		$19.55	$32.34	$68.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $89.74 / $101.47	Professional		$76.28	$89.74	$101.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $23.98 / $28.82	Professional	26	$20.38	$23.98	$28.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $55.90 / $65.76 / $72.65	Professional	TC	$55.90	$65.76	$72.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $45.22 / $80.93	Professional		$40.50	$45.22	$80.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $14.18 / $25.98	Professional	26	$12.25	$14.18	$25.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $31.54 / $56.45	Professional	TC	$28.25	$31.54	$56.45