Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.66 / $20.66 / $20.66	Facility	26	$20.66	$20.66	$20.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $50.30 / $50.30 / $53.06	Facility	TC	$50.30	$50.30	$53.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $30.10 / $58.35	Professional		$25.17	$30.10	$58.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.63 / $17.02	Professional	26	$7.50	$8.63	$17.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $21.73 / $41.33	Professional	TC	$17.67	$21.73	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $45.36 / $53.36	Professional		$28.75	$45.36	$53.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.38 / $15.74	Professional	26	$9.27	$13.38	$15.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $31.98 / $37.09	Professional	TC	$19.48	$31.98	$37.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $61.51 / $101.28	Professional		$61.51	$61.51	$101.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.92 / $46.92 / $46.92	Professional	26	$46.92	$46.92	$46.92
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $54.36 / $54.36 / $54.36	Professional	TC	$54.36	$54.36	$54.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $54.70 / $63.91	Professional		$47.50	$54.70	$63.91
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $13.58 / $15.52	Professional	26	$12.80	$13.58	$15.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $39.96 / $46.69	Professional	TC	$34.70	$39.96	$46.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $32.34 / $46.08	Professional		$12.92	$32.34	$46.08
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 $51.24 / $60.28 / $68.34	Professional		$51.24	$60.28	$68.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $16.44 / $19.54	Professional	26	$13.97	$16.44	$19.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $37.26 / $43.84 / $48.82	Professional	TC	$37.26	$43.84	$48.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $31.16 / $55.75	Professional		$26.55	$31.16	$55.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.11 / $16.32	Professional	26	$8.17	$9.11	$16.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $22.04 / $39.43	Professional	TC	$18.38	$22.04	$39.43