Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.56 / $27.32 / $27.83	Facility	26	$15.56	$27.32	$27.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $62.64 / $88.64	Professional		$34.17	$62.64	$88.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $12.16 / $23.12	Professional	26	$9.41	$12.16	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $32.19 / $60.73	Professional	TC	$24.75	$32.19	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $60.44 / $71.09	Professional		$37.25	$60.44	$71.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $18.05 / $21.24	Professional	26	$12.01	$18.05	$21.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $42.09 / $49.86	Professional	TC	$25.24	$42.09	$49.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $120.18 / $127.30	Professional		$120.18	$120.18	$127.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $57.41 / $57.66	Professional	26	$57.41	$57.41	$57.66
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $62.77 / $62.77 / $69.64	Professional	TC	$62.77	$62.77	$69.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $72.52 / $84.74	Professional		$55.64	$72.52	$84.74
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $19.67 / $22.91	Professional	26	$17.07	$19.67	$22.91
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $45.90 / $51.35 / $55.64	Professional	TC	$45.90	$51.35	$55.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $32.34 / $61.34	Professional		$17.39	$32.34	$61.34
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 $69.29 / $81.52 / $92.06	Professional		$69.29	$81.52	$92.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $21.92 / $26.33	Professional	26	$18.63	$21.92	$26.33
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $50.66 / $59.60 / $65.73	Professional	TC	$50.66	$59.60	$65.73
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $41.04 / $73.45	Professional		$38.11	$41.04	$73.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $12.54 / $23.82	Professional	26	$10.55	$12.54	$23.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.81 / $28.50 / $51.03	Professional	TC	$25.81	$28.50	$51.03