Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.68 / $145.26 / $145.26	Facility	26	$141.68	$145.26	$145.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.37 / $328.23 / $446.27	Professional		$244.37	$328.23	$446.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $62.00 / $122.07	Professional	26	$50.07	$62.00	$122.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.53 / $272.63 / $324.20	Professional	TC	$205.53	$272.63	$324.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $191.90 / $407.60	Professional		$171.70	$191.90	$407.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $51.35 / $104.72	Professional	26	$45.95	$51.35	$104.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.76 / $140.55 / $309.98	Professional	TC	$125.76	$140.55	$309.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $823.74 / $823.74 / $914.43	Professional		$823.74	$823.74	$914.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $258.48 / $258.48 / $432.36	Professional	26	$258.48	$258.48	$432.36
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $391.38 / $391.38 / $655.95	Professional	TC	$391.38	$391.38	$655.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.51 / $373.67 / $490.41	Professional		$324.51	$373.67	$490.41
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.99 / $100.17 / $117.04	Professional	26	$86.99	$100.17	$117.04
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $237.50 / $273.49 / $319.55	Professional	TC	$237.50	$273.49	$319.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.67 / $316.77	Professional		$32.34	$98.67	$316.77
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $423.33 / $490.41	Professional		$350.00	$423.33	$490.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $94.90 / $111.65 / $134.44	Professional	26	$94.90	$111.65	$134.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $264.93 / $311.68 / $355.98	Professional	TC	$264.93	$311.68	$355.98
United Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $241.87 / $484.87	Professional		$192.03	$241.87	$484.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.32 / $62.32 / $111.53	Professional	26	$48.32	$62.32	$111.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $193.55 / $388.01	Professional	TC	$141.72	$193.55	$388.01