Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.17 / $34.17 / $34.17	Facility	26	$34.17	$34.17	$34.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $49.77 / $97.84	Professional		$39.97	$49.77	$97.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $14.99 / $28.72	Professional	26	$12.10	$14.99	$28.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $36.25 / $69.12	Professional	TC	$27.87	$36.25	$69.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $74.84 / $88.06	Professional		$43.23	$74.84	$88.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $22.58 / $26.56	Professional	26	$15.11	$22.58	$26.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.82 / $49.84 / $60.01	Professional	TC	$28.82	$49.84	$60.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $130.97 / $145.40	Professional		$130.97	$130.97	$145.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.66 / $54.66 / $66.11	Professional	26	$54.66	$54.66	$66.11
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $64.87 / $64.87 / $90.74	Professional	TC	$64.87	$64.87	$90.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $80.95 / $102.70	Professional		$66.64	$80.95	$102.70
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $24.59 / $28.44	Professional	26	$21.35	$24.59	$28.44
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 $21.77 / $32.34 / $65.94	Professional		$21.77	$32.34	$65.94
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 $83.84 / $98.64 / $112.52	Professional		$83.84	$98.64	$112.52
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $27.40 / $32.94	Professional	26	$23.29	$27.40	$32.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $60.55 / $71.23 / $79.56	Professional	TC	$60.55	$71.23	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $49.78 / $89.08	Professional		$44.59	$49.78	$89.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $15.20 / $27.89	Professional	26	$13.62	$15.20	$27.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.97 / $34.58 / $65.68	Professional	TC	$30.97	$34.58	$65.68