Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Facility	26	$183.18	$183.18	$183.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $494.18 / $778.44	Professional		$326.08	$494.18	$778.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.91 / $140.00 / $226.41	Professional	26	$79.91	$140.00	$226.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.18 / $348.53 / $552.03	Professional	TC	$246.18	$348.53	$552.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $234.56 / $702.06	Professional		$209.87	$234.56	$702.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $65.12 / $135.04	Professional	26	$59.27	$65.12	$135.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.59 / $168.31 / $538.72	Professional	TC	$150.59	$168.31	$538.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.87 / $1,440.87 / $1,599.50	Professional		$1,440.87	$1,440.87	$1,599.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $197.88 / $197.88 / $637.71	Professional	26	$197.88	$197.88	$637.71
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $803.16 / $803.16 / $1,401.62	Professional	TC	$803.16	$803.16	$1,401.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $460.94 / $599.63	Professional		$400.29	$460.94	$599.63
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.61 / $124.82 / $136.50	Professional	26	$112.61	$124.82	$136.50
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $287.68 / $331.27 / $387.06	Professional	TC	$287.68	$331.27	$387.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $114.49 / $435.44	Professional		$32.34	$114.49	$435.44
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 $441.93 / $519.91 / $599.62	Professional		$441.93	$519.91	$599.62
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $122.86 / $144.54 / $173.69	Professional	26	$122.86	$144.54	$173.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $319.07 / $375.38 / $425.93	Professional	TC	$319.07	$375.38	$425.93
United Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $463.78 / $994.44	Professional		$237.43	$463.78	$994.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.76 / $80.94 / $144.84	Professional	26	$49.76	$80.94	$144.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.09 / $323.94 / $829.98	Professional	TC	$172.09	$323.94	$829.98