Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.16 / $19.45 / $19.62	Facility	26	$17.16	$19.45	$19.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $38.79 / $78.17	Professional		$25.25	$38.79	$78.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.73 / $19.45	Professional	26	$7.03	$8.73	$19.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.82 / $17.25 / $28.85	Professional	52	$13.82	$17.25	$28.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $25.77 / $49.18	Professional	TC	$18.21	$25.77	$49.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $44.32 / $52.14	Professional		$26.59	$44.32	$52.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $12.86 / $15.13	Professional	26	$8.55	$12.86	$15.13
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $31.35 / $37.01	Professional	TC	$18.04	$31.35	$37.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $81.02 / $122.54	Professional		$81.02	$81.02	$122.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.26 / $51.26 / $51.37	Professional	26	$51.26	$51.26	$51.37
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.65 / $29.65 / $71.28	Professional	TC	$29.65	$29.65	$71.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $54.43 / $66.81	Professional		$48.11	$54.43	$66.81
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $14.14 / $16.52	Professional	26	$12.28	$14.14	$16.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $35.09 / $40.10	Professional	TC	$33.08	$35.09	$40.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $32.34 / $49.04	Professional		$12.41	$32.34	$49.04
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 $50.07 / $58.91 / $66.81	Professional		$50.07	$58.91	$66.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $15.76 / $18.77	Professional	26	$13.40	$15.76	$18.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.69 / $43.16 / $48.05	Professional	TC	$36.69	$43.16	$48.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $30.02 / $53.72	Professional		$28.51	$30.02	$53.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $8.74 / $15.64	Professional	26	$7.83	$8.74	$15.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $21.10 / $39.04	Professional	TC	$20.21	$21.10	$39.04