Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.93 / $25.93 / $25.93	Facility	26	$25.93	$25.93	$25.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $22.03 / $36.22	Professional		$19.26	$22.03	$36.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.70 / $20.70	Professional	26	$9.14	$10.70	$20.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.02 / $11.48 / $15.53	Professional	TC	$9.02	$11.48	$15.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $29.00 / $36.14	Professional		$22.06	$29.00	$36.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.73 / $19.76	Professional	26	$11.22	$16.73	$19.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $12.93 / $16.48	Professional	TC	$9.69	$12.93	$16.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $117.48 / $179.42	Professional		$117.48	$117.48	$179.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.86 / $69.86 / $69.86	Professional	26	$69.86	$69.86	$69.86
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.62 / $47.62 / $109.56	Professional	TC	$47.62	$47.62	$109.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $35.04 / $42.58	Professional		$30.43	$35.04	$42.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.01 / $17.46 / $20.63	Professional	26	$16.01	$17.46	$20.63
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 / $18.05 / $32.34	Professional		$12.07	$18.05	$32.34
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 $32.03 / $37.68 / $42.58	Professional		$32.03	$37.68	$42.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $19.87 / $23.75	Professional	26	$16.89	$19.87	$23.75
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $17.80 / $18.82	Professional	TC	$15.14	$17.80	$18.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $21.76 / $39.68	Professional		$19.48	$21.76	$39.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $11.46 / $20.41	Professional	26	$10.55	$11.46	$20.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $10.89 / $21.92	Professional	TC	$8.66	$10.89	$21.92