Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.83 / $23.83 / $23.83	Facility	26	$23.83	$23.83	$23.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $40.22 / $67.98	Professional		$28.91	$40.22	$67.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.63 / $21.60	Professional	26	$8.51	$10.63	$21.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $27.64 / $52.75	Professional	TC	$20.39	$27.64	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $51.89 / $61.05	Professional		$31.78	$51.89	$61.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $15.75 / $18.53	Professional	26	$10.86	$15.75	$18.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $34.93 / $42.12	Professional	TC	$20.92	$34.93	$42.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $107.93	Professional		$97.22	$97.22	$107.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.43 / $49.43 / $51.18	Professional	26	$49.43	$49.43	$51.18
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $46.04 / $46.04 / $58.50	Professional	TC	$46.04	$46.04	$58.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $56.61 / $67.34	Professional		$40.76	$56.61	$67.34
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $17.21 / $20.11	Professional	26	$14.95	$17.21	$20.11
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.43 / $43.45 / $46.58	Professional	TC	$38.43	$43.45	$46.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $32.34 / $51.94	Professional		$15.17	$32.34	$51.94
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $156.94	Facility	26	$156.94	$156.94	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $69.19 / $78.72	Professional		$58.81	$69.19	$78.72
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $19.18 / $22.98	Professional	26	$16.30	$19.18	$22.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.51 / $50.01 / $55.74	Professional	TC	$42.51	$50.01	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.96 / $62.56	Professional		$32.34	$34.96	$62.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $11.03 / $19.73	Professional	26	$9.88	$11.03	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $23.93 / $43.81	Professional	TC	$22.46	$23.93	$43.81