Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.51 / $24.51 / $24.51	Facility	26	$24.51	$24.51	$24.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $38.58 / $64.58	Professional		$30.43	$38.58	$64.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $11.11 / $20.60	Professional	26	$9.08	$11.11	$20.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $27.47 / $43.98	Professional	TC	$21.35	$27.47	$43.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $49.74 / $58.52	Professional		$29.22	$49.74	$58.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $16.16 / $19.05	Professional	26	$10.10	$16.16	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $33.54 / $39.24	Professional	TC	$19.12	$33.54	$39.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $59.03 / $112.08	Professional		$59.03	$59.03	$112.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.37 / $49.37 / $59.71	Professional	26	$49.37	$49.37	$59.71
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.66 / $9.66 / $52.37	Professional	TC	$9.66	$9.66	$52.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $59.00 / $68.93	Professional		$51.23	$59.00	$68.93
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $17.82 / $19.75	Professional	26	$15.48	$17.82	$19.75
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.76 / $40.29 / $43.34	Professional	TC	$35.76	$40.29	$43.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $32.34 / $55.52	Professional		$15.65	$32.34	$55.52
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 $55.90 / $65.76 / $75.55	Professional		$55.90	$65.76	$75.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $19.18 / $23.66	Professional	26	$16.30	$19.18	$23.66
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.59 / $46.58 / $51.89	Professional	TC	$39.59	$46.58	$51.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $33.35 / $59.84	Professional		$30.97	$33.35	$59.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $10.74 / $19.73	Professional	26	$9.86	$10.74	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $22.42 / $40.11	Professional	TC	$21.10	$22.42	$40.11