Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.04 / $29.90 / $29.90	Facility	26	$17.04	$29.90	$29.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $50.78 / $89.62	Professional		$40.39	$50.78	$89.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $12.45 / $25.13	Professional	26	$9.41	$12.45	$25.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $38.59 / $64.48	Professional	TC	$30.98	$38.59	$64.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $67.70 / $81.06	Professional		$43.37	$67.70	$81.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $18.60 / $22.65	Professional	26	$12.01	$18.60	$22.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.35 / $48.05 / $57.82	Professional	TC	$31.35	$48.05	$57.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $145.84 / $161.88	Professional		$145.84	$145.84	$161.88
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.98 / $63.98 / $65.75	Professional	26	$63.98	$63.98	$65.75
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.86 / $81.86 / $96.14	Professional	TC	$81.86	$81.86	$96.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $82.35 / $96.21	Professional		$71.51	$82.35	$96.21
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $21.51 / $22.91	Professional	26	$18.68	$21.51	$22.91
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $52.83 / $60.84 / $71.08	Professional	TC	$52.83	$60.84	$71.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $32.34 / $69.67	Professional		$19.04	$32.34	$69.67
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 $78.02 / $91.79 / $103.78	Professional		$78.02	$91.79	$103.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $23.98 / $28.82	Professional	26	$20.38	$23.98	$28.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $57.65 / $67.81 / $74.95	Professional	TC	$57.65	$67.81	$74.95
United Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $45.98 / $86.62	Professional		$43.67	$45.98	$86.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $13.26 / $23.80	Professional	26	$10.55	$13.26	$23.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $34.72 / $59.16	Professional	TC	$31.04	$34.72	$59.16