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 / $410.12	Facility	26	$157.12	$410.12	$410.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $494.18 / $1,018.37	Professional		$425.00	$494.18	$1,018.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.31 / $168.00 / $351.85	Professional	26	$120.31	$168.00	$351.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $307.37 / $368.50 / $673.73	Professional	TC	$307.37	$368.50	$673.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.91 / $311.73 / $918.76	Professional		$278.91	$311.73	$918.76
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 $188.05 / $210.17 / $634.13	Professional	TC	$188.05	$210.17	$634.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.86 / $1,232.86 / $2,394.25	Professional		$1,232.86	$1,232.86	$2,394.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $891.78 / $891.78 / $893.85	Professional	26	$891.78	$891.78	$893.85
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $341.09 / $341.09 / $1,500.40	Professional	TC	$341.09	$341.09	$1,500.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.78 / $597.38 / $782.95	Professional		$518.78	$597.38	$782.95
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 $345.31 / $397.63 / $464.60	Professional	TC	$345.31	$397.63	$464.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $175.68 / $565.46	Professional		$32.34	$175.68	$565.46
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 / $674.73 / $782.95	Professional		$550.00	$674.73	$782.95
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 $386.04 / $454.16 / $517.42	Professional	TC	$386.04	$454.16	$517.42
United Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $549.99 / $1,181.08	Professional		$316.89	$549.99	$1,181.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.66 / $123.50 / $221.00	Professional	26	$98.66	$123.50	$221.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $399.87 / $938.54	Professional	TC	$217.19	$399.87	$938.54