Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.37 / $16.37 / $18.93	Facility	26	$16.37	$16.37	$18.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.81 / $108.80 / $283.20	Facility	TC	$28.81	$108.80	$283.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $25.94 / $45.19	Professional		$21.21	$25.94	$45.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.30 / $17.78	Professional	26	$6.42	$8.30	$17.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $18.09 / $31.28	Professional	TC	$14.78	$18.09	$31.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $33.32 / $40.42	Professional		$23.32	$33.32	$40.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $12.27 / $14.43	Professional	26	$8.16	$12.27	$14.43
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.05 / $31.05 / $31.05	Professional	50	$31.05	$31.05	$31.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.16 / $21.06 / $25.99	Professional	TC	$15.16	$21.06	$25.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $77.05 / $79.67	Professional		$77.05	$77.05	$79.67
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $36.04 / $45.24	Professional	26	$36.04	$36.04	$45.24
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.81 / $31.81 / $43.63	Professional	TC	$31.81	$31.81	$43.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $39.96 / $47.79	Professional		$34.70	$39.96	$47.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.53 / $15.80	Professional	26	$11.75	$13.53	$15.80
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $26.43 / $30.81	Professional	TC	$22.95	$26.43	$30.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $24.34 / $32.34	Professional		$11.23	$24.34	$32.34
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 Facility Modifier TC Low / Median / High Price $156.94 / $156.94 / $156.94	Facility	TC	$156.94	$156.94	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $44.52 / $50.58	Professional		$37.84	$44.52	$50.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $15.07 / $17.91	Professional	26	$12.81	$15.07	$17.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $25.04 / $29.46 / $32.67	Professional	TC	$25.04	$29.46	$32.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $24.51 / $49.69	Professional		$21.65	$24.51	$49.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $8.36 / $15.80	Professional	26	$7.49	$8.36	$15.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $17.02 / $30.57	Professional	TC	$13.71	$17.02	$30.57