Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.83 / $22.83 / $23.02	Facility	26	$22.83	$22.83	$23.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $54.70 / $55.16 / $555.20	Facility	TC	$54.70	$55.16	$555.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $38.53 / $74.27	Professional		$27.45	$38.53	$74.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.31 / $22.83	Professional	26	$8.46	$10.31	$22.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $23.70 / $45.97	Professional	TC	$18.32	$23.70	$45.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $49.67 / $58.43	Professional		$30.62	$49.67	$58.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $15.09 / $17.75	Professional	26	$10.43	$15.09	$17.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $34.58 / $40.68	Professional	TC	$20.20	$34.58	$40.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $100.92 / $108.03	Professional		$100.92	$100.92	$108.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.09 / $41.09 / $45.20	Professional	26	$41.09	$41.09	$45.20
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $62.83 / $62.83 / $62.83	Professional	TC	$62.83	$62.83	$62.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $61.47 / $71.81	Professional		$53.38	$61.47	$71.81
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $15.28 / $17.46	Professional	26	$14.40	$15.28	$17.46
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.96 / $44.86 / $47.22	Professional	TC	$38.96	$44.86	$47.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $32.34 / $51.84	Professional		$14.56	$32.34	$51.84
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 $57.65 / $67.81 / $76.98	Professional		$57.65	$67.81	$76.98
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 $41.92 / $49.32 / $54.97	Professional	TC	$41.92	$49.32	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $32.11 / $59.56	Professional		$28.25	$32.11	$59.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.26 / $18.35	Professional	26	$9.19	$10.26	$18.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.56 / $40.47	Professional	TC	$19.05	$23.56	$40.47