Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.07 / $33.27 / $33.90	Facility	26	$19.07	$33.27	$33.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $73.14 / $127.34	Professional		$51.51	$73.14	$127.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $15.96 / $33.27	Professional	26	$13.57	$15.96	$33.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $48.43 / $83.00	Professional	TC	$34.09	$48.43	$83.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $81.54 / $95.93	Professional		$51.30	$81.54	$95.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $21.99 / $28.33	Professional	26	$15.88	$21.99	$28.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $57.60 / $70.06	Professional	TC	$34.22	$57.60	$70.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $156.63 / $238.30	Professional		$156.63	$156.63	$238.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.47 / $100.47 / $100.68	Professional	26	$100.47	$100.47	$100.68
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $55.96 / $55.96 / $137.83	Professional	TC	$55.96	$55.96	$137.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $99.56 / $118.30	Professional		$86.46	$99.56	$118.30
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $24.99 / $28.02	Professional	26	$22.09	$24.99	$28.02
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $69.63 / $79.58	Professional	TC	$65.65	$69.63	$79.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $32.34 / $84.16	Professional		$21.19	$32.34	$84.16
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 $93.75 / $110.29 / $124.73	Professional		$93.75	$110.29	$124.73
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $26.03 / $32.08	Professional	26	$22.13	$26.03	$32.08
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $71.62 / $84.26 / $92.64	Professional	TC	$71.62	$84.26	$92.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $54.46 / $98.58	Professional		$51.25	$54.46	$98.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $16.88 / $33.09	Professional	26	$14.07	$16.88	$33.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.18 / $39.15 / $70.05	Professional	TC	$37.18	$39.15	$70.05