Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.68 / $244.02 / $244.02	Facility	26	$92.68	$244.02	$244.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $518.50 / $875.82	Professional		$352.58	$518.50	$875.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $205.06	Professional	26	$73.00	$140.00	$205.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.17 / $348.53 / $670.76	Professional	TC	$280.17	$348.53	$670.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $299.22 / $692.56	Professional		$267.72	$299.22	$692.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.66 / $59.98 / $121.80	Professional	26	$53.66	$59.98	$121.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.06 / $239.24 / $577.87	Professional	TC	$214.06	$239.24	$577.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.51 / $1,385.51 / $1,838.01	Professional		$1,385.51	$1,385.51	$1,838.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $283.19 / $283.19 / $517.83	Professional	26	$283.19	$283.19	$517.83
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $867.68 / $867.68 / $1,554.82	Professional	TC	$867.68	$867.68	$1,554.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.88 / $562.95 / $742.41	Professional		$488.88	$562.95	$742.41
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.94 / $117.38 / $137.15	Professional	26	$101.94	$117.38	$137.15
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $386.94 / $445.57 / $520.61	Professional	TC	$386.94	$445.57	$520.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $115.54 / $475.56	Professional		$32.34	$115.54	$475.56
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $545.57 / $641.85 / $742.41	Professional		$545.57	$641.85	$742.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $111.21 / $130.84 / $157.32	Professional	26	$111.21	$130.84	$157.32
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $434.36 / $511.01 / $585.09	Professional	TC	$434.36	$511.01	$585.09
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $406.21 / $856.44	Professional		$304.61	$406.21	$856.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.84 / $72.95 / $137.76	Professional	26	$55.84	$72.95	$137.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $350.37 / $702.38	Professional	TC	$245.71	$350.37	$702.38