Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.53 / $32.47 / $33.10	Facility	26	$18.53	$32.47	$33.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $52.25 / $97.09	Professional		$35.63	$52.25	$97.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $16.28 / $29.23	Professional	26	$11.50	$16.28	$29.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $41.06 / $57.87	Professional	TC	$24.12	$41.06	$57.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $65.41 / $76.95	Professional		$38.86	$65.41	$76.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $21.46 / $25.25	Professional	26	$14.36	$21.46	$25.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $42.69 / $51.35	Professional	TC	$24.66	$42.69	$51.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $122.88 / $130.55	Professional		$122.88	$122.88	$130.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.34 / $62.34 / $63.84	Professional	26	$62.34	$62.34	$63.84
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $60.54 / $60.54 / $66.70	Professional	TC	$60.54	$60.54	$66.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $77.44 / $90.49	Professional		$67.25	$77.44	$90.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $23.35 / $27.28	Professional	26	$20.28	$23.35	$27.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $46.96 / $49.81 / $56.92	Professional	TC	$46.96	$49.81	$56.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $32.34 / $65.66	Professional		$20.69	$32.34	$65.66
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 Professional Modifier Low / Median / High Price $73.95 / $87.00 / $99.35	Professional		$73.95	$87.00	$99.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $26.03 / $31.31	Professional	26	$22.13	$26.03	$31.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $51.82 / $60.97 / $68.04	Professional	TC	$51.82	$60.97	$68.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $43.70 / $78.19	Professional		$40.15	$43.70	$78.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $14.44 / $29.25	Professional	26	$12.93	$14.44	$29.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $27.79 / $52.36	Professional	TC	$27.23	$27.79	$52.36