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 $425.00 / $522.50 / $1,022.33	Professional		$425.00	$522.50	$1,022.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.60 / $154.00 / $344.64	Professional	26	$110.60	$154.00	$344.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.07 / $368.50 / $677.69	Professional	TC	$309.07	$368.50	$677.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $312.89 / $876.72	Professional		$279.95	$312.89	$876.72
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 $189.09 / $211.33 / $637.72	Professional	TC	$189.09	$211.33	$637.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,363.19 / $2,363.19 / $2,623.37	Professional		$2,363.19	$2,363.19	$2,623.37
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 $1,471.42 / $1,471.42 / $1,731.59	Professional	TC	$1,471.42	$1,471.42	$1,731.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $599.83 / $815.25	Professional		$520.91	$599.83	$815.25
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 $347.46 / $400.10 / $467.49	Professional	TC	$347.46	$400.10	$467.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $175.68 / $567.76	Professional		$32.34	$175.68	$567.76
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 / $677.47 / $786.02	Professional		$550.00	$677.47	$786.02
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 $388.37 / $456.90 / $520.50	Professional	TC	$388.37	$456.90	$520.50
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $523.66 / $1,104.09	Professional		$318.11	$523.66	$1,104.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $123.50 / $232.48	Professional	26	$99.70	$123.50	$232.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.41 / $411.14 / $858.91	Professional	TC	$218.41	$411.14	$858.91