Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.64 / $21.14 / $21.32	Facility	26	$18.64	$21.14	$21.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $45.92 / $90.80	Professional		$29.89	$45.92	$90.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.52 / $20.25	Professional	26	$7.33	$9.52	$20.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.09 / $64.39	Professional	TC	$22.57	$33.09	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $58.44 / $68.75	Professional		$32.02	$58.44	$68.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $13.85 / $16.44	Professional	26	$9.31	$13.85	$16.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $42.69 / $51.35	Professional	TC	$23.94	$42.69	$51.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $91.82 / $117.21	Professional		$91.82	$91.82	$117.21
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $49.21 / $49.31	Professional	26	$49.21	$49.21	$49.31
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.61 / $42.61 / $67.90	Professional	TC	$42.61	$42.61	$67.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $63.96 / $81.14	Professional		$60.31	$63.96	$81.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.37 / $17.96	Professional	26	$13.35	$15.37	$17.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $46.96 / $49.81 / $56.92	Professional	TC	$46.96	$49.81	$56.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $32.34 / $58.47	Professional		$13.48	$32.34	$58.47
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 $65.79 / $77.40 / $89.20	Professional		$65.79	$77.40	$89.20
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $16.44 / $20.39	Professional	26	$13.97	$16.44	$20.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $51.82 / $60.97 / $68.81	Professional	TC	$51.82	$60.97	$68.81
United Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $38.76 / $69.36	Professional		$32.52	$38.76	$69.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.50 / $17.26	Professional	26	$8.51	$9.50	$17.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.53 / $27.79 / $52.36	Professional	TC	$25.53	$27.79	$52.36