Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.85 / $35.85 / $36.54	Facility	26	$35.85	$35.85	$36.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $53.37 / $166.50 / $407.55	Facility	TC	$53.37	$166.50	$407.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $64.36 / $107.85	Professional		$45.59	$64.36	$107.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $16.07 / $32.97	Professional	26	$13.41	$16.07	$32.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $46.17 / $81.59	Professional	TC	$30.85	$46.17	$81.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $82.72 / $97.32	Professional		$50.51	$82.72	$97.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $23.69 / $27.87	Professional	26	$16.64	$23.69	$27.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $58.19 / $69.23	Professional	TC	$33.86	$58.19	$69.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $169.17 / $178.25	Professional		$169.17	$169.17	$178.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $96.80 / $96.80 / $96.80	Professional	26	$96.80	$96.80	$96.80
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.45 / $81.45 / $81.45	Professional	TC	$81.45	$81.45	$81.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $99.56 / $116.33	Professional		$86.46	$99.56	$116.33
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $25.82 / $27.18	Professional	26	$22.42	$25.82	$27.18
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $64.05 / $73.76 / $77.64	Professional	TC	$64.05	$73.76	$77.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $32.34 / $84.26	Professional		$22.84	$32.34	$84.26
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 Facility Modifier TC Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	TC	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $110.97 / $125.68	Professional		$94.32	$110.97	$125.68
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $28.77 / $34.57	Professional	26	$24.45	$28.77	$34.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $69.87 / $82.20 / $91.10	Professional	TC	$69.87	$82.20	$91.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $55.48 / $98.30	Professional		$46.63	$55.48	$98.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $15.96 / $28.57	Professional	26	$14.64	$15.96	$28.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $37.53 / $68.15	Professional	TC	$31.99	$37.53	$68.15