Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.09 / $229.75 / $241.33	Facility	26	$130.09	$229.75	$241.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $401.19 / $812.78	Professional		$306.68	$401.19	$812.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.18 / $140.38 / $308.52	Professional	26	$79.18	$140.38	$308.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.22 / $300.05 / $491.50	Professional	TC	$230.22	$300.05	$491.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.95 / $288.31 / $591.44	Professional		$257.95	$288.31	$591.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.26 / $80.76 / $164.29	Professional	26	$72.26	$80.76	$164.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.71 / $207.55 / $407.59	Professional	TC	$185.71	$207.55	$407.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.11 / $1,167.11 / $1,861.34	Professional		$1,167.11	$1,167.11	$1,861.34
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $689.00 / $689.00 / $690.41	Professional	26	$689.00	$689.00	$690.41
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $476.71 / $476.71 / $1,172.33	Professional	TC	$476.71	$476.71	$1,172.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.48 / $564.79 / $744.04	Professional		$490.48	$564.79	$744.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $137.69 / $146.04 / $166.90	Professional	26	$137.69	$146.04	$166.90
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $352.79 / $406.24 / $474.66	Professional	TC	$352.79	$406.24	$474.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $139.56 / $424.08	Professional		$32.34	$139.56	$424.08
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $514.45 / $639.79 / $744.04	Professional		$514.45	$639.79	$744.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $148.47 / $174.68 / $211.23	Professional	26	$148.47	$174.68	$211.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $377.00 / $465.11 / $532.82	Professional	TC	$377.00	$465.11	$532.82
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $349.98 / $664.78	Professional		$282.52	$349.98	$664.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.06 / $98.42 / $179.21	Professional	26	$74.06	$98.42	$179.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.08 / $251.56 / $461.10	Professional	TC	$203.08	$251.56	$461.10