Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.73 / $35.96 / $35.96	Facility	26	$31.73	$35.96	$35.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $86.90 / $139.91	Professional		$60.68	$86.90	$139.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $18.38 / $35.96	Professional	26	$15.71	$18.38	$35.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $56.03 / $103.11	Professional	TC	$44.99	$56.03	$103.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $95.80 / $114.55	Professional		$64.44	$95.80	$114.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.09 / $23.76 / $32.83	Professional	26	$18.09	$23.76	$32.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.55 / $69.53 / $83.67	Professional	TC	$44.55	$69.53	$83.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $189.05 / $217.28	Professional		$189.05	$189.05	$217.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.12 / $117.12 / $117.12	Professional	26	$117.12	$117.12	$117.12
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $71.93 / $71.93 / $100.16	Professional	TC	$71.93	$71.93	$100.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $114.30 / $133.56	Professional		$99.26	$114.30	$133.56
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $26.43 / $30.88	Professional	26	$22.95	$26.43	$30.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $76.33 / $85.32 / $92.52	Professional	TC	$76.33	$85.32	$92.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $32.34 / $96.41	Professional		$23.15	$32.34	$96.41
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 $109.46 / $128.78 / $145.37	Professional		$109.46	$128.78	$145.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $29.46 / $35.04	Professional	26	$25.04	$29.46	$35.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $84.43 / $99.33 / $110.33	Professional	TC	$84.43	$99.33	$110.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $72.31 / $128.27	Professional		$60.27	$72.31	$128.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $18.38 / $34.02	Professional	26	$15.52	$18.38	$34.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $51.40 / $89.50	Professional	TC	$44.75	$51.40	$89.50