Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.89 / $227.26 / $229.17	Facility	26	$123.89	$227.26	$229.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $438.48 / $557.22	Professional		$313.79	$438.48	$557.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.23 / $96.08 / $190.98	Professional	26	$82.23	$96.08	$190.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.00 / $351.12 / $386.24	Professional	TC	$217.00	$351.12	$386.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $285.11 / $649.16	Professional		$255.10	$285.11	$649.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.73 / $80.18 / $164.13	Professional	26	$71.73	$80.18	$164.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.36 / $204.94 / $510.32	Professional	TC	$183.36	$204.94	$510.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.60 / $1,235.60 / $1,371.64	Professional		$1,235.60	$1,235.60	$1,371.64
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $546.00 / $546.00 / $585.95	Professional	26	$546.00	$546.00	$585.95
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $689.61 / $689.61 / $785.69	Professional	TC	$689.61	$689.61	$785.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $496.90 / $572.19 / $746.34	Professional		$496.90	$572.19	$746.34
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $136.63 / $157.34 / $183.84	Professional	26	$136.63	$157.34	$183.84
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $360.26 / $414.85 / $484.71	Professional	TC	$360.26	$414.85	$484.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.53 / $372.64	Professional		$32.34	$138.53	$372.64
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $518.29 / $644.59 / $746.34	Professional		$518.29	$644.59	$746.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $147.88 / $173.99 / $209.69	Professional	26	$147.88	$173.99	$209.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $378.40 / $470.60 / $536.65	Professional	TC	$378.40	$470.60	$536.65
United Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $473.21 / $688.70	Professional		$279.16	$473.21	$688.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $97.66 / $193.73	Professional	26	$78.84	$97.66	$193.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.32 / $336.48 / $674.54	Professional	TC	$200.32	$336.48	$674.54