Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.12 / $410.12 / $413.56	Facility	26	$157.12	$410.12	$413.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.97 / $522.50 / $1,021.34	Professional		$430.97	$522.50	$1,021.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $157.12 / $360.00	Professional	26	$118.59	$157.12	$360.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $308.22 / $340.00 / $676.70	Professional	TC	$308.22	$340.00	$676.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.43 / $312.31 / $931.86	Professional		$279.43	$312.31	$931.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.87 / $101.56 / $205.33	Professional	26	$90.87	$101.56	$205.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.57 / $210.75 / $635.92	Professional	TC	$188.57	$210.75	$635.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.07 / $1,948.07 / $2,352.39	Professional		$1,948.07	$1,948.07	$2,352.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $891.78 / $891.78 / $891.78	Professional	26	$891.78	$891.78	$891.78
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,056.29 / $1,056.29 / $1,460.61	Professional	TC	$1,056.29	$1,056.29	$1,460.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.83 / $598.60 / $784.48	Professional		$519.83	$598.60	$784.48
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $173.46 / $199.75 / $233.39	Professional	26	$173.46	$199.75	$233.39
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $346.38 / $398.87 / $466.04	Professional	TC	$346.38	$398.87	$466.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $195.76 / $508.50	Professional		$32.34	$195.76	$508.50
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $676.09 / $784.48	Professional		$550.00	$676.09	$784.48
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $187.48 / $220.57 / $265.52	Professional	26	$187.48	$220.57	$265.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $387.20 / $455.53 / $518.96	Professional	TC	$387.20	$455.53	$518.96
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $558.97 / $1,185.42	Professional		$317.50	$558.97	$1,185.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $123.50 / $232.47	Professional	26	$99.70	$123.50	$232.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.80 / $409.98 / $944.30	Professional	TC	$217.80	$409.98	$944.30