Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.71 / $20.25 / $20.42	Facility	26	$11.71	$20.25	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $38.90 / $76.51	Professional		$25.87	$38.90	$76.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $11.12 / $20.42	Professional	26	$7.03	$11.12	$20.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $28.42 / $51.80	Professional	TC	$18.82	$28.42	$51.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $49.43 / $58.26	Professional		$28.08	$49.43	$58.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $13.38 / $15.74	Professional	26	$9.32	$13.38	$15.74
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $34.34 / $42.52	Professional	TC	$20.22	$34.34	$42.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $91.82 / $151.02	Professional		$91.82	$91.82	$151.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $40.15 / $53.42	Professional	26	$40.15	$40.15	$53.42
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $38.40 / $110.86	Professional	TC	$38.40	$38.40	$110.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $52.93 / $64.62	Professional		$39.50	$52.93	$64.62
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $14.74 / $16.59	Professional	26	$12.80	$14.74	$16.59
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.50 / $41.90 / $47.88	Professional	TC	$39.50	$41.90	$47.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $32.34 / $50.70	Professional		$12.92	$32.34	$50.70
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $156.94	Facility	26	$156.94	$156.94	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $67.13 / $75.27	Professional		$57.06	$67.13	$75.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $16.44 / $19.54	Professional	26	$13.97	$16.44	$19.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $43.09 / $50.69 / $55.74	Professional	TC	$43.09	$50.69	$55.74
United Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $33.35 / $59.84	Professional		$29.61	$33.35	$59.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.11 / $16.54	Professional	26	$8.17	$9.11	$16.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $24.26 / $43.52	Professional	TC	$21.44	$24.26	$43.52