Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.57 / $30.69 / $31.28	Facility	26	$17.57	$30.69	$31.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $49.50 / $84.99	Professional		$37.92	$49.50	$84.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $13.51 / $29.40	Professional	26	$9.75	$13.51	$29.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $36.40 / $60.20	Professional	TC	$28.17	$36.40	$60.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $64.73 / $76.17	Professional		$39.42	$64.73	$76.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.09 / $23.25	Professional	26	$12.02	$19.09	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $44.47 / $53.62	Professional	TC	$27.39	$44.47	$53.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $130.97 / $193.60	Professional		$130.97	$130.97	$193.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.86 / $69.86 / $70.02	Professional	26	$69.86	$69.86	$70.02
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $60.96 / $60.96 / $123.74	Professional	TC	$60.96	$60.96	$123.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $77.44 / $90.49	Professional		$67.25	$77.44	$90.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $22.12 / $23.28	Professional	26	$19.21	$22.12	$23.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $51.35 / $58.22	Professional	TC	$48.03	$51.35	$58.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $32.34 / $73.05	Professional		$19.55	$32.34	$73.05
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 $73.95 / $87.00 / $99.17	Professional		$73.95	$87.00	$99.17
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $24.66 / $29.59	Professional	26	$20.96	$24.66	$29.59
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.99 / $62.34 / $69.58	Professional	TC	$52.99	$62.34	$69.58
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $43.91 / $77.52	Professional		$41.14	$43.91	$77.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $12.99 / $23.69	Professional	26	$11.23	$12.99	$23.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $32.68 / $56.30	Professional	TC	$28.15	$32.68	$56.30