Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.73 / $160.55 / $161.90	Facility	26	$86.73	$160.55	$161.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.69 / $314.94 / $385.46	Professional		$225.69	$314.94	$385.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $67.76 / $146.37	Professional	26	$54.86	$67.76	$146.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.93 / $250.53 / $285.00	Professional	TC	$157.93	$250.53	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $164.15 / $411.69	Professional		$146.87	$164.15	$411.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $56.16 / $114.38	Professional	26	$50.25	$56.16	$114.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.62 / $107.99 / $292.24	Professional	TC	$96.62	$107.99	$292.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $902.06 / $902.06 / $1,001.37	Professional		$902.06	$902.06	$1,001.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $345.89 / $345.89 / $479.83	Professional	26	$345.89	$345.89	$479.83
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $422.23 / $422.23 / $655.48	Professional	TC	$422.23	$422.23	$655.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $324.50 / $423.37	Professional		$281.80	$324.50	$423.37
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.54 / $110.01 / $128.54	Professional	26	$95.54	$110.01	$128.54
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $186.27 / $223.52 / $298.88	Professional	TC	$186.27	$223.52	$298.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.11 / $275.98	Professional		$32.34	$97.11	$275.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.92 / $365.79 / $423.37	Professional		$310.92	$365.79	$423.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $104.23 / $122.62 / $147.36	Professional	26	$104.23	$122.62	$147.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $206.70 / $243.18 / $276.01	Professional	TC	$206.70	$243.18	$276.01
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $219.01 / $451.46	Professional		$165.04	$219.01	$451.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $68.20 / $127.40	Professional	26	$52.66	$68.20	$127.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $166.35 / $333.49	Professional	TC	$109.82	$166.35	$333.49