Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.05 / $24.21 / $39.81	Facility	26	$18.05	$24.21	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $56.88 / $100.45	Professional		$38.77	$56.88	$100.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $14.11 / $30.25	Professional	26	$11.21	$14.11	$30.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $39.61 / $73.00	Professional	TC	$27.55	$39.61	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $73.14 / $86.05	Professional		$41.72	$73.14	$86.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $20.87 / $24.55	Professional	26	$13.96	$20.87	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $50.44 / $60.59	Professional	TC	$28.82	$50.44	$60.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $135.04 / $148.63	Professional		$135.04	$135.04	$148.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.39 / $56.39 / $56.50	Professional	26	$56.39	$56.39	$56.50
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $78.65 / $78.65 / $92.14	Professional	TC	$78.65	$78.65	$92.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $86.05 / $100.54	Professional		$74.73	$86.05	$100.54
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $22.74 / $26.57	Professional	26	$19.75	$22.74	$26.57
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $54.98 / $58.31 / $66.64	Professional	TC	$54.98	$58.31	$66.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $32.34 / $81.12	Professional		$20.13	$32.34	$81.12
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 $82.68 / $97.27 / $110.02	Professional		$82.68	$97.27	$110.02
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $25.35 / $30.45	Professional	26	$21.55	$25.35	$30.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $61.14 / $71.93 / $79.56	Professional	TC	$61.14	$71.93	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $49.02 / $87.73	Professional		$43.57	$49.02	$87.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $14.44 / $26.44	Professional	26	$12.60	$14.44	$26.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.97 / $34.58 / $62.29	Professional	TC	$30.97	$34.58	$62.29