Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.84 / $38.54 / $38.86	Facility	26	$22.84	$38.54	$38.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $59.34 / $100.86	Professional		$43.64	$59.34	$100.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $17.17 / $36.84	Professional	26	$13.58	$17.17	$36.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $39.09 / $75.31	Professional	TC	$30.03	$39.09	$75.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $77.22 / $90.85	Professional		$47.69	$77.22	$90.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $25.47 / $29.97	Professional	26	$17.42	$25.47	$29.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.27 / $50.44 / $60.88	Professional	TC	$30.27	$50.44	$60.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $139.09 / $154.40	Professional		$139.09	$139.09	$154.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.75 / $60.75 / $67.95	Professional	26	$60.75	$60.75	$67.95
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $78.34 / $78.34 / $86.44	Professional	TC	$78.34	$78.34	$86.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $92.19 / $107.71	Professional		$80.06	$92.19	$107.71
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $28.27 / $33.03	Professional	26	$24.55	$28.27	$33.03
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $55.51 / $63.92 / $80.06	Professional	TC	$55.51	$63.92	$80.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $32.34 / $78.00	Professional		$24.80	$32.34	$78.00
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 Professional Modifier Low / Median / High Price $87.34 / $102.75 / $117.11	Professional		$87.34	$102.75	$117.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $30.83 / $37.53	Professional	26	$26.21	$30.83	$37.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $61.14 / $71.93 / $79.56	Professional	TC	$61.14	$71.93	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $51.68 / $92.48	Professional		$49.01	$51.68	$92.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.32 / $17.10 / $32.47	Professional	26	$15.32	$17.10	$32.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.52 / $33.69 / $63.34	Professional	TC	$32.52	$33.69	$63.34