Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.57 / $29.57 / $29.57	Facility	26	$29.57	$29.57	$29.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $64.65 / $122.42	Professional		$43.78	$64.65	$122.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.76 / $26.20	Professional	26	$10.61	$12.76	$26.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $48.10 / $90.48	Professional	TC	$33.15	$48.10	$90.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $82.36 / $96.89	Professional		$45.96	$82.36	$96.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $19.17 / $22.55	Professional	26	$13.17	$19.17	$22.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $61.77 / $72.44	Professional	TC	$34.52	$61.77	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $153.94 / $170.89	Professional		$153.94	$153.94	$170.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $51.13 / $61.85	Professional	26	$51.13	$51.13	$61.85
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $92.09 / $92.09 / $119.76	Professional	TC	$92.09	$92.09	$119.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $97.72 / $114.17	Professional		$84.86	$97.72	$114.17
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $20.90 / $24.42	Professional	26	$18.14	$20.90	$24.42
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $66.70 / $70.75 / $80.86	Professional	TC	$66.70	$70.75	$80.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $32.34 / $73.04	Professional		$18.48	$32.34	$73.04
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 $92.58 / $108.92 / $123.68	Professional		$92.58	$108.92	$123.68
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $23.29 / $27.96	Professional	26	$19.80	$23.29	$27.96
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $72.79 / $85.63 / $95.72	Professional	TC	$72.79	$85.63	$95.72
United Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $55.10 / $98.60	Professional		$49.69	$55.10	$98.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $13.30 / $23.80	Professional	26	$12.25	$13.30	$23.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.44 / $41.80 / $74.80	Professional	TC	$37.44	$41.80	$74.80