Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.01 / $27.21 / $27.75	Facility	26	$24.01	$27.21	$27.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $55.96 / $82.06	Professional		$45.48	$55.96	$82.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.82 / $22.87	Professional	26	$10.02	$11.82	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.60 / $41.64 / $59.20	Professional	TC	$34.60	$41.64	$59.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $62.96 / $75.93	Professional		$48.06	$62.96	$75.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $17.98 / $21.15	Professional	26	$12.42	$17.98	$21.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $44.99 / $53.21	Professional	TC	$34.88	$44.99	$53.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $143.13 / $189.68	Professional		$143.13	$143.13	$189.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $66.11 / $66.64	Professional	26	$66.11	$66.11	$66.64
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $77.03 / $77.03 / $123.04	Professional	TC	$77.03	$77.03	$123.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $78.13 / $95.05	Professional		$65.11	$78.13	$95.05
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 $48.03 / $55.31 / $64.62	Professional	TC	$48.03	$55.31	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $32.34 / $63.35	Professional		$17.34	$32.34	$63.35
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 $71.03 / $83.57 / $95.05	Professional		$71.03	$83.57	$95.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.63 / $21.92 / $26.24	Professional	26	$18.63	$21.92	$26.24
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.40 / $61.65 / $68.81	Professional	TC	$52.40	$61.65	$68.81
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $44.93 / $76.56	Professional		$40.06	$44.93	$76.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $12.16 / $21.76	Professional	26	$11.55	$12.16	$21.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $33.02 / $56.27	Professional	TC	$28.51	$33.02	$56.27