Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.09 / $26.41 / $26.63	Facility	26	$15.09	$26.41	$26.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $43.58 / $76.11	Professional		$35.04	$43.58	$76.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $11.79 / $22.20	Professional	26	$10.60	$11.79	$22.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $30.49 / $53.91	Professional	TC	$24.44	$30.49	$53.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $58.28 / $70.28	Professional		$38.08	$58.28	$70.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $17.46 / $22.83	Professional	26	$12.95	$17.46	$22.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $40.82 / $48.03	Professional	TC	$24.88	$40.82	$48.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $112.08 / $221.46	Professional		$112.08	$112.08	$221.46
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.45 / $55.45 / $61.51	Professional	26	$55.45	$55.45	$61.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $56.63 / $56.63 / $159.94	Professional	TC	$56.63	$56.63	$159.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $69.45 / $81.14	Professional		$60.31	$69.45	$81.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $19.05 / $22.27	Professional	26	$16.55	$19.05	$22.27
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.76 / $50.39 / $53.04	Professional	TC	$43.76	$50.39	$53.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $32.34 / $65.42	Professional		$16.82	$32.34	$65.42
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 / $88.13	Professional		$65.79	$77.40	$88.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $21.24 / $25.47	Professional	26	$18.05	$21.24	$25.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $47.74 / $56.17 / $62.66	Professional	TC	$47.74	$56.17	$62.66
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $40.15 / $70.04	Professional		$37.17	$40.15	$70.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $12.34 / $22.67	Professional	26	$11.55	$12.34	$22.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $27.91 / $51.66	Professional	TC	$25.62	$27.91	$51.66