Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.93 / $21.93 / $22.11	Facility	26	$21.93	$21.93	$22.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $33.65 / $56.95	Professional		$27.41	$33.65	$56.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.78 / $21.01	Professional	26	$7.95	$9.78	$21.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.12 / $23.19 / $35.02	Professional	TC	$18.12	$23.19	$35.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.86 / $54.27	Professional		$28.84	$37.86	$54.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $14.49 / $17.05	Professional	26	$9.72	$14.49	$17.05
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	50	$41.47	$41.47	$41.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $23.87 / $37.90	Professional	TC	$18.29	$23.87	$37.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $98.57 / $286.56	Professional		$98.57	$98.57	$286.56
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.22 / $41.22 / $58.44	Professional	26	$41.22	$41.22	$58.44
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.13 / $40.13 / $245.34	Professional	TC	$40.13	$40.13	$245.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $44.25 / $55.37	Professional		$38.43	$44.25	$55.37
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $15.98 / $18.17	Professional	26	$13.88	$15.98	$18.17
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.27 / $33.03	Professional	TC	$24.55	$28.27	$33.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $26.07 / $37.38	Professional		$12.40	$26.07	$37.38
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 $41.92 / $49.32 / $55.37	Professional		$41.92	$49.32	$55.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $17.80 / $21.17	Professional	26	$15.14	$17.80	$21.17
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $26.78 / $31.51 / $34.21	Professional	TC	$26.78	$31.51	$34.21
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $32.34 / $56.30	Professional		$28.15	$32.34	$56.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $9.88 / $17.93	Professional	26	$9.38	$9.88	$17.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $22.81 / $47.34	Professional	TC	$18.77	$22.81	$47.34