Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.54 / $38.54 / $38.86	Facility	26	$38.54	$38.54	$38.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $59.50 / $109.59	Professional		$47.68	$59.50	$109.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $17.17 / $34.57	Professional	26	$13.58	$17.17	$34.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $45.75 / $73.75	Professional	TC	$34.09	$45.75	$73.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $81.38 / $95.74	Professional		$50.93	$81.38	$95.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $25.47 / $29.97	Professional	26	$17.05	$25.47	$29.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $54.02 / $65.78	Professional	TC	$33.86	$54.02	$65.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $148.54 / $164.89	Professional		$148.54	$148.54	$164.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $65.34 / $83.21	Professional	26	$65.34	$65.34	$83.21
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.68 / $81.68 / $83.19	Professional	TC	$81.68	$81.68	$83.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $96.48 / $112.73	Professional		$83.79	$96.48	$112.73
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $28.27 / $32.39	Professional	26	$24.55	$28.27	$32.39
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $59.24 / $68.04 / $71.80	Professional	TC	$59.24	$68.04	$71.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $32.34 / $90.93	Professional		$24.80	$32.34	$90.93
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 $92.00 / $108.23 / $123.26	Professional		$92.00	$108.23	$123.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $31.51 / $37.53	Professional	26	$26.78	$31.51	$37.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $65.20 / $76.72 / $85.72	Professional	TC	$65.20	$76.72	$85.72
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $54.72 / $97.92	Professional		$51.97	$54.72	$97.92
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 $31.15 / $38.46 / $70.73	Professional	TC	$31.15	$38.46	$70.73