Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.65 / $22.03 / $22.22	Facility	26	$12.65	$22.03	$22.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $36.13 / $75.17	Professional		$24.92	$36.13	$75.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.11 / $23.14	Professional	26	$7.33	$11.11	$23.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $25.50 / $49.10	Professional	TC	$17.57	$25.50	$49.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $48.63 / $57.21	Professional		$26.99	$48.63	$57.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $14.20 / $16.96	Professional	26	$9.31	$14.20	$16.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $34.06 / $40.07	Professional	TC	$19.11	$34.06	$40.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $100.62	Professional		$85.07	$85.07	$100.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $38.96 / $53.42	Professional	26	$38.96	$38.96	$53.42
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.65 / $31.65 / $61.66	Professional	TC	$31.65	$31.65	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $53.22 / $63.24	Professional		$44.00	$53.22	$63.24
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $15.98 / $18.17	Professional	26	$13.88	$15.98	$18.17
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $38.50 / $44.00	Professional	TC	$36.29	$38.50	$44.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $32.34 / $54.31	Professional		$14.05	$32.34	$54.31
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 $54.73 / $64.39 / $73.92	Professional		$54.73	$64.39	$73.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $17.80 / $21.26	Professional	26	$15.14	$17.80	$21.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.59 / $46.58 / $52.66	Professional	TC	$39.59	$46.58	$52.66
United Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $32.59 / $58.49	Professional		$27.57	$32.59	$58.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.88 / $17.68	Professional	26	$8.17	$9.88	$17.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $22.80 / $40.81	Professional	TC	$19.39	$22.80	$40.81