Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $19.07 / $34.33	Facility	26	$17.14	$19.07	$34.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $67.70 / $132.76	Professional		$50.06	$67.70	$132.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $14.74 / $27.96	Professional	26	$12.78	$14.74	$27.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $45.75 / $90.29	Professional	TC	$34.14	$45.75	$90.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $90.38 / $103.86	Professional		$53.31	$90.38	$103.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $21.99 / $25.86	Professional	26	$15.52	$21.99	$25.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.47 / $65.95 / $80.47	Professional	TC	$37.47	$65.95	$80.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.70 / $187.70 / $402.65	Professional		$187.70	$187.70	$402.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.46 / $92.46 / $92.46	Professional	26	$92.46	$92.46	$92.46
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.24 / $95.24 / $95.24	Professional	TC	$95.24	$95.24	$95.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $111.85 / $130.69	Professional		$97.14	$111.85	$130.69
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $24.59 / $25.88	Professional	26	$21.35	$24.59	$25.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $75.78 / $87.27 / $91.86	Professional	TC	$75.78	$87.27	$91.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $32.34 / $104.95	Professional		$21.46	$32.34	$104.95
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $123.30 / $138.57	Professional		$104.81	$123.30	$138.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $26.72 / $32.08	Professional	26	$22.71	$26.72	$32.08
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $82.10 / $96.59 / $106.48	Professional	TC	$82.10	$96.59	$106.48
United Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $59.66 / $104.52	Professional		$49.35	$59.66	$104.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $15.12 / $26.51	Professional	26	$13.96	$15.12	$26.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.39 / $43.35 / $74.62	Professional	TC	$35.39	$43.35	$74.62