Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.50 / $219.84 / $230.92	Facility	26	$119.50	$219.84	$230.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $443.77 / $549.91	Professional		$310.64	$443.77	$549.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $107.33 / $192.03	Professional	26	$74.17	$107.33	$192.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.28 / $351.12 / $386.24	Professional	TC	$217.28	$351.12	$386.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.88 / $256.92 / $753.00	Professional		$229.88	$256.92	$753.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.14 / $77.27 / $157.28	Professional	26	$69.14	$77.27	$157.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.74 / $179.65 / $540.88	Professional	TC	$160.74	$179.65	$540.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $858.99 / $858.99 / $1,259.92	Professional		$858.99	$858.99	$1,259.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $336.99 / $336.99 / $337.77	Professional	26	$336.99	$336.99	$337.77
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $522.00 / $522.00 / $922.15	Professional	TC	$522.00	$522.00	$922.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.85 / $516.86 / $670.34	Professional		$448.85	$516.86	$670.34
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $131.29 / $151.18 / $176.65	Professional	26	$131.29	$151.18	$176.65
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $317.56 / $365.67 / $427.26	Professional	TC	$317.56	$365.67	$427.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $148.79 / $415.98	Professional		$32.34	$148.79	$415.98
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 $467.08 / $580.88 / $670.34	Professional		$467.08	$580.88	$670.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $142.66 / $167.83 / $202.89	Professional	26	$142.66	$167.83	$202.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $350.00 / $413.06 / $467.45	Professional	TC	$350.00	$413.06	$467.45
United Facility/Professional Professional Modifier Low / Median / High Price $255.84 / $490.40 / $983.11	Professional		$255.84	$490.40	$983.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.62 / $89.50 / $168.64	Professional	26	$72.62	$89.50	$168.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.76 / $338.38 / $837.52	Professional	TC	$179.76	$338.38	$837.52