Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.65 / $37.65 / $37.65	Facility	26	$37.65	$37.65	$37.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $73.58 / $73.58 / $343.20	Facility	TC	$73.58	$73.58	$343.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $45.05 / $93.48	Professional		$37.95	$45.05	$93.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $16.69 / $31.64	Professional	26	$14.44	$16.69	$31.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $29.05 / $61.84	Professional	TC	$23.51	$29.05	$61.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $70.90 / $83.42	Professional		$43.70	$70.90	$83.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $24.81 / $29.88	Professional	26	$17.73	$24.81	$29.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $44.48 / $53.54	Professional	TC	$26.32	$44.48	$53.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $171.50 / $190.38	Professional		$171.50	$171.50	$190.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.87 / $82.87 / $100.24	Professional	26	$82.87	$82.87	$100.24
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $71.26 / $71.26 / $71.26	Professional	TC	$71.26	$71.26	$71.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $77.54 / $98.37	Professional		$49.63	$77.54	$98.37
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $24.90 / $28.46	Professional	26	$23.48	$24.90	$28.46
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $49.63 / $57.15 / $60.16	Professional	TC	$49.63	$57.15	$60.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $32.34 / $79.70	Professional		$23.98	$32.34	$79.70
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	TC	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $93.85 / $108.95	Professional		$79.77	$93.85	$108.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $29.46 / $36.29	Professional	26	$25.04	$29.46	$36.29
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $54.73 / $64.39 / $72.65	Professional	TC	$54.73	$64.39	$72.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $54.56 / $85.67	Professional		$40.15	$54.56	$85.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $17.48 / $31.28	Professional	26	$15.66	$17.48	$31.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $30.31 / $54.39	Professional	TC	$24.50	$30.31	$54.39