Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.79 / $265.56 / $265.56	Facility	26	$100.79	$265.56	$265.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $494.18 / $1,036.33	Professional		$425.00	$494.18	$1,036.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.75 / $140.00 / $231.92	Professional	26	$78.75	$140.00	$231.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $813.18	Professional	TC	$335.00	$368.50	$813.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.57 / $314.70 / $979.81	Professional		$281.57	$314.70	$979.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.42 / $65.29 / $133.94	Professional	26	$58.42	$65.29	$133.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.15 / $249.40 / $879.89	Professional	TC	$223.15	$249.40	$879.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.73 / $2,484.73 / $2,758.28	Professional		$2,484.73	$2,484.73	$2,758.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $985.28 / $985.28 / $987.58	Professional	26	$985.28	$985.28	$987.58
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,497.15 / $1,497.15 / $1,773.00	Professional	TC	$1,497.15	$1,497.15	$1,773.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.85 / $617.04 / $800.12	Professional		$535.85	$617.04	$800.12
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.01 / $127.83 / $149.36	Professional	26	$111.01	$127.83	$149.36
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $424.84 / $489.21 / $571.61	Professional	TC	$424.84	$489.21	$571.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $125.74 / $520.96	Professional		$32.34	$125.74	$520.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.73 / $697.33 / $800.11	Professional		$592.73	$697.33	$800.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $121.11 / $142.47 / $171.20	Professional	26	$121.11	$142.47	$171.20
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $471.62 / $554.85 / $628.91	Professional	TC	$471.62	$554.85	$628.91
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $675.27 / $1,419.65	Professional		$320.88	$675.27	$1,419.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $78.98 / $162.55	Professional	26	$64.73	$78.98	$162.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $567.79 / $1,204.08	Professional	TC	$256.14	$567.79	$1,204.08