Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.63 / $20.36 / $21.56	Facility	26	$11.63	$20.36	$21.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.81 / $65.72	Professional		$26.78	$32.81	$65.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $17.11	Professional	26	$7.33	$8.55	$17.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $24.69 / $48.61	Professional	TC	$19.46	$24.69	$48.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $50.63 / $59.57	Professional		$28.79	$50.63	$59.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $13.45 / $15.83	Professional	26	$9.31	$13.45	$15.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $36.72 / $43.74	Professional	TC	$20.59	$36.72	$43.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $94.52 / $100.47	Professional		$94.52	$94.52	$100.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.22 / $42.22 / $42.65	Professional	26	$42.22	$42.22	$42.65
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.87 / $51.87 / $58.25	Professional	TC	$51.87	$51.87	$58.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $57.17 / $72.53	Professional		$40.56	$57.17	$72.53
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.37 / $17.96	Professional	26	$13.35	$15.37	$17.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.56 / $43.02 / $49.16	Professional	TC	$40.56	$43.02	$49.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $32.34 / $52.29	Professional		$13.48	$32.34	$52.29
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 $58.23 / $68.50 / $76.90	Professional		$58.23	$68.50	$76.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $16.44 / $19.63	Professional	26	$13.97	$16.44	$19.63
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $52.06 / $57.27	Professional	TC	$44.25	$52.06	$57.27
United Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $34.20 / $61.20	Professional		$30.63	$34.20	$61.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.50 / $17.00	Professional	26	$8.51	$9.50	$17.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.12 / $24.70 / $44.20	Professional	TC	$22.12	$24.70	$44.20