Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $26.94	Facility	26	$13.55	$13.55	$26.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $49.89 / $83.39	Professional		$37.67	$49.89	$83.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $11.79 / $22.20	Professional	26	$9.98	$11.79	$22.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $38.10 / $61.18	Professional	TC	$27.69	$38.10	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $63.54 / $75.30	Professional		$36.89	$63.54	$75.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $17.46 / $20.54	Professional	26	$12.01	$17.46	$20.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $43.88 / $53.66	Professional	TC	$25.77	$43.88	$53.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $120.18 / $133.41	Professional		$120.18	$120.18	$133.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $45.84 / $55.45	Professional	26	$45.84	$45.84	$55.45
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $64.73 / $64.73 / $87.57	Professional	TC	$64.73	$64.73	$87.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $78.78 / $96.59	Professional		$69.63	$78.78	$96.59
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $19.05 / $22.27	Professional	26	$16.55	$19.05	$22.27
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $52.08 / $59.52	Professional	TC	$49.10	$52.08	$59.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $32.34 / $63.86	Professional		$16.82	$32.34	$63.86
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 $72.20 / $84.94 / $96.59	Professional		$72.20	$84.94	$96.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $21.24 / $25.47	Professional	26	$18.05	$21.24	$25.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $54.15 / $63.71 / $71.11	Professional	TC	$54.15	$63.71	$71.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $42.56 / $76.16	Professional		$38.11	$42.56	$76.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $11.55 / $22.63	Professional	26	$10.89	$11.55	$22.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $30.40 / $54.40	Professional	TC	$27.23	$30.40	$54.40