Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $21.02 / $32.64	Professional		$17.30	$21.02	$32.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.11 / $10.93 / $14.87	Professional	TC	$8.11	$10.93	$14.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $25.66 / $31.94	Professional		$15.93	$25.66	$31.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $11.69 / $16.48	Professional	TC	$9.27	$11.69	$16.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $116.13 / $179.42	Professional		$116.13	$116.13	$179.42
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $20.16 / $100.07	Professional	TC	$20.16	$20.16	$100.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $32.57 / $38.46	Professional		$28.28	$32.57	$38.46
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.40 / $16.59 / $19.38	Professional	TC	$14.40	$16.59	$19.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.60 / $32.34	Professional		$12.07	$15.60	$32.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $34.25 / $38.46	Professional		$29.11	$34.25	$38.46
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $14.56 / $17.13 / $18.05	Professional	TC	$14.56	$17.13	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $21.78 / $40.31	Professional		$17.68	$21.78	$40.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.30 / $12.25 / $21.92	Professional	TC	$8.30	$12.25	$21.92