Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.43 / $36.75 / $36.75	Facility	26	$32.43	$36.75	$36.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $82.79 / $141.97	Professional		$67.39	$82.79	$141.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $18.98 / $35.71	Professional	26	$16.17	$18.98	$35.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.21 / $62.80 / $106.70	Professional	TC	$51.21	$62.80	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $95.80 / $112.71	Professional		$67.66	$95.80	$112.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $24.28 / $29.59	Professional	26	$17.95	$24.28	$29.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.42 / $71.52 / $84.14	Professional	TC	$50.42	$71.52	$84.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $213.36 / $232.84	Professional		$213.36	$213.36	$232.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.20 / $76.20 / $104.58	Professional	26	$76.20	$76.20	$104.58
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $108.78 / $108.78 / $156.63	Professional	TC	$108.78	$108.78	$156.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $113.09 / $133.65	Professional		$98.21	$113.09	$133.65
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $24.90 / $31.59	Professional	26	$23.48	$24.90	$31.59
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $74.73 / $86.05 / $93.22	Professional	TC	$74.73	$86.05	$93.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $32.34 / $95.38	Professional		$23.68	$32.34	$95.38
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 $107.13 / $126.04 / $144.60	Professional		$107.13	$126.04	$144.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $29.46 / $35.81	Professional	26	$25.04	$29.46	$35.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $82.10 / $96.59 / $108.79	Professional	TC	$82.10	$96.59	$108.79
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $67.39 / $124.73	Professional		$60.27	$67.39	$124.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $17.02 / $29.97	Professional	26	$15.52	$17.02	$29.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $51.25 / $93.23	Professional	TC	$44.75	$51.25	$93.23