Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $15.98 / $16.11	Facility	26	$9.19	$15.98	$16.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $46.87 / $187.46 / $350.48	Facility	TC	$46.87	$187.46	$350.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $43.87 / $69.09	Professional		$26.55	$43.87	$69.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $7.84 / $15.98	Professional	26	$5.53	$7.84	$15.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $35.71 / $50.64	Professional	TC	$21.01	$35.71	$50.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $44.62 / $53.81	Professional		$27.56	$44.62	$53.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $10.56 / $12.42	Professional	26	$7.00	$10.56	$12.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $34.06 / $41.07	Professional	TC	$20.56	$34.06	$41.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.31 / $108.12	Professional		$78.31	$78.31	$108.12
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.23 / $42.23 / $43.15	Professional	26	$42.23	$42.23	$43.15
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.17 / $35.17 / $65.89	Professional	TC	$35.17	$35.17	$65.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $46.43 / $56.28	Professional		$36.29	$46.43	$56.28
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $10.76 / $13.43	Professional	26	$10.15	$10.76	$13.43
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $38.50 / $44.00	Professional	TC	$36.29	$38.50	$44.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $32.34 / $50.02	Professional		$10.19	$32.34	$50.02
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 / $68.08	Professional		$51.24	$60.28	$68.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $13.02 / $15.42	Professional	26	$11.07	$13.02	$15.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.18 / $47.27 / $52.66	Professional	TC	$40.18	$47.27	$52.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $30.63 / $56.69	Professional		$28.51	$30.63	$56.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $6.86 / $12.93	Professional	26	$6.47	$6.86	$12.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $24.16 / $43.30	Professional	TC	$21.65	$24.16	$43.30