Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.61 / $25.52 / $25.52	Facility	26	$14.61	$25.52	$25.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $46.10 / $79.86	Professional		$32.92	$46.10	$79.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $24.56	Professional	26	$10.02	$11.82	$24.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $29.76 / $55.41	Professional	TC	$22.87	$29.76	$55.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $53.53 / $64.43	Professional		$35.14	$53.53	$64.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $16.87 / $20.34	Professional	26	$12.14	$16.87	$20.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $36.65 / $43.13	Professional	TC	$22.72	$36.65	$43.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $137.91	Professional		$124.23	$124.23	$137.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $40.15 / $48.28	Professional	26	$40.15	$40.15	$48.28
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $84.07 / $84.07 / $89.63	Professional	TC	$84.07	$84.07	$89.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $63.92 / $74.68	Professional		$55.51	$63.92	$74.68
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.01 / $18.43 / $21.53	Professional	26	$16.01	$18.43	$21.53
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.50 / $45.49 / $47.88	Professional	TC	$39.50	$45.49	$47.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $32.34 / $60.22	Professional		$16.26	$32.34	$60.22
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 $60.55 / $71.23 / $81.12	Professional		$60.55	$71.23	$81.12
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $20.55 / $24.61	Professional	26	$17.47	$20.55	$24.61
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $43.09 / $50.69 / $56.51	Professional	TC	$43.09	$50.69	$56.51
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $37.44 / $69.30	Professional		$34.65	$37.44	$69.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $11.78 / $21.76	Professional	26	$11.19	$11.78	$21.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $27.06 / $45.90	Professional	TC	$23.46	$27.06	$45.90