Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.94 / $10.94 / $21.56	Facility	26	$10.94	$10.94	$21.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $34.36 / $65.06	Professional		$28.03	$34.36	$65.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.94 / $17.77	Professional	26	$7.63	$8.94	$17.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $25.42 / $47.29	Professional	TC	$20.39	$25.42	$47.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $49.59 / $59.09	Professional		$29.51	$49.59	$59.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $13.97 / $16.44	Professional	26	$9.31	$13.97	$16.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $35.61 / $41.91	Professional	TC	$20.20	$35.61	$41.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $83.72 / $92.94	Professional		$83.72	$83.72	$92.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.97 / $29.97 / $36.25	Professional	26	$29.97	$29.97	$36.25
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.47 / $47.47 / $62.97	Professional	TC	$47.47	$47.47	$62.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $59.62 / $69.66	Professional		$51.78	$59.62	$69.66
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.37 / $17.38	Professional	26	$13.35	$15.37	$17.38
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.43 / $41.08 / $46.58	Professional	TC	$38.43	$41.08	$46.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $32.34 / $50.24	Professional		$13.48	$32.34	$50.24
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 $56.47 / $66.44 / $75.37	Professional		$56.47	$66.44	$75.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $17.13 / $20.39	Professional	26	$14.56	$17.13	$20.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.92 / $49.32 / $54.97	Professional	TC	$41.92	$49.32	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $33.06 / $59.16	Professional		$31.40	$33.06	$59.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.50 / $17.00	Professional	26	$8.51	$9.50	$17.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $23.56 / $42.16	Professional	TC	$21.85	$23.56	$42.16