Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.06 / $35.06 / $35.06	Facility	26	$35.06	$35.06	$35.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $51.91 / $97.54	Professional		$36.88	$51.91	$97.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $15.37 / $29.47	Professional	26	$11.50	$15.37	$29.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $34.60 / $59.45	Professional	TC	$25.37	$34.60	$59.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $68.16 / $80.19	Professional		$39.95	$68.16	$80.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $23.17 / $27.26	Professional	26	$14.36	$23.17	$27.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $43.88 / $52.51	Professional	TC	$25.60	$43.88	$52.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $126.93 / $140.91	Professional		$126.93	$126.93	$140.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.38 / $70.38 / $94.52	Professional	26	$70.38	$70.38	$94.52
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $46.39 / $46.39 / $56.55	Professional	TC	$46.39	$46.39	$56.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $80.50 / $94.06	Professional		$69.91	$80.50	$94.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.19 / $27.65	Professional	26	$21.88	$25.19	$27.65
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $52.14 / $58.22	Professional	TC	$48.03	$52.14	$58.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $32.34 / $68.34	Professional		$22.33	$32.34	$68.34
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 $76.86 / $90.42 / $103.38	Professional		$76.86	$90.42	$103.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.87 / $28.08 / $33.79	Professional	26	$23.87	$28.08	$33.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.99 / $62.34 / $69.58	Professional	TC	$52.99	$62.34	$69.58
United Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $44.57 / $82.28	Professional		$41.53	$44.57	$82.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $15.43 / $28.56	Professional	26	$13.28	$15.43	$28.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $29.93 / $53.72	Professional	TC	$28.25	$29.93	$53.72