Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $12.27 / $22.77	Professional	26	$9.64	$12.27	$22.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.28 / $34.27 / $53.91	Professional	TC	$26.28	$34.27	$53.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $17.91 / $21.07	Professional	26	$11.26	$17.91	$21.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $41.86 / $48.75	Professional	TC	$23.44	$41.86	$48.75
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $40.54 / $49.05	Professional	26	$40.54	$40.54	$49.05
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.87 / $50.87 / $70.38	Professional	TC	$50.87	$50.87	$70.38
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $19.67 / $22.12	Professional	26	$17.07	$19.67	$22.12
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $51.15 / $72.45	Professional	TC	$42.70	$51.15	$72.45
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $21.92 / $26.15	Professional	26	$18.63	$21.92	$26.15
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $47.17 / $55.49 / $61.89	Professional	TC	$47.17	$55.49	$61.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $12.09 / $22.25	Professional	26	$10.55	$12.09	$22.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $28.88 / $56.69	Professional	TC	$26.21	$28.88	$56.69