Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.14 / $20.14 / $23.98	Facility	26	$20.14	$20.14	$23.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $42.40 / $66.70	Professional		$32.39	$42.40	$66.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $10.53 / $21.87	Professional	26	$9.44	$10.53	$21.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.77 / $19.76 / $28.61	Professional	52	$13.77	$19.76	$28.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $30.71 / $43.35	Professional	TC	$23.01	$30.71	$43.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $45.36 / $63.41	Professional		$34.90	$45.36	$63.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $15.09 / $18.93	Professional	26	$11.25	$15.09	$18.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $30.56 / $44.48	Professional	TC	$22.92	$30.56	$44.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $109.38 / $121.42	Professional		$109.38	$109.38	$121.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.32 / $42.32 / $51.18	Professional	26	$42.32	$42.32	$51.18
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $58.20 / $58.20 / $79.09	Professional	TC	$58.20	$58.20	$79.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $53.47 / $67.00	Professional		$46.43	$53.47	$67.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $16.59 / $19.38	Professional	26	$14.40	$16.59	$19.38
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.03 / $38.43 / $46.43	Professional	TC	$32.03	$38.43	$46.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $32.34 / $50.31	Professional		$14.56	$32.34	$50.31
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 $50.66 / $59.60 / $67.00	Professional		$50.66	$59.60	$67.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $18.50 / $22.03	Professional	26	$15.73	$18.50	$22.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.94 / $41.10 / $44.97	Professional	TC	$34.94	$41.10	$44.97
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $41.19 / $81.19	Professional		$31.76	$41.19	$81.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $11.69 / $22.97	Professional	26	$9.74	$11.69	$22.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $29.95 / $51.03	Professional	TC	$22.02	$29.95	$51.03