Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.26 / $21.03 / $21.21	Facility	26	$12.26	$21.03	$21.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $46.09 / $80.84	Professional		$30.51	$46.09	$80.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.58 / $20.14	Professional	26	$8.25	$9.58	$20.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $31.27 / $69.48	Professional	TC	$22.26	$31.27	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $62.53 / $73.56	Professional		$33.39	$62.53	$73.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $13.85 / $16.64	Professional	26	$9.81	$13.85	$16.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $47.46 / $55.74	Professional	TC	$26.32	$47.46	$55.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $101.28 / $250.24	Professional		$101.28	$101.28	$250.24
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.93 / $37.93 / $85.27	Professional	26	$37.93	$37.93	$85.27
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $63.35 / $63.35 / $164.97	Professional	TC	$63.35	$63.35	$164.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $76.86 / $92.95	Professional		$64.05	$76.86	$92.95
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.37 / $17.96	Professional	26	$13.35	$15.37	$17.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $53.78 / $61.46	Professional	TC	$50.70	$53.78	$61.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $32.34 / $62.00	Professional		$13.42	$32.34	$62.00
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 Professional Modifier Low / Median / High Price $69.87 / $82.20 / $92.96	Professional		$69.87	$82.20	$92.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $16.44 / $20.30	Professional	26	$13.97	$16.44	$20.30
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $55.90 / $65.76 / $72.65	Professional	TC	$55.90	$65.76	$72.65
United Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $41.42 / $75.22	Professional		$36.42	$41.42	$75.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $10.01 / $20.82	Professional	26	$9.02	$10.01	$20.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $31.92 / $60.06	Professional	TC	$22.28	$31.92	$60.06