Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.86 / $38.86 / $38.86	Facility	26	$38.86	$38.86	$38.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $61.46 / $82.33	Professional		$45.82	$61.46	$82.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $16.60 / $31.73	Professional	26	$13.58	$16.60	$31.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.64 / $47.07 / $51.77	Professional	TC	$28.64	$47.07	$51.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $65.29 / $78.33	Professional		$45.12	$65.29	$78.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $24.95 / $29.35	Professional	26	$17.42	$24.95	$29.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $38.74 / $59.42	Professional	TC	$26.04	$38.74	$59.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.70 / $187.70 / $208.37	Professional		$187.70	$187.70	$208.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $119.43 / $119.43 / $151.02	Professional	26	$119.43	$119.43	$151.02
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $57.35 / $57.35 / $68.27	Professional	TC	$57.35	$57.35	$68.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $76.20 / $97.11	Professional		$66.18	$76.20	$97.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $27.66 / $32.32	Professional	26	$24.02	$27.66	$32.32
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.16 / $48.55 / $56.72	Professional	TC	$42.16	$48.55	$56.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $32.34 / $64.65	Professional		$21.51	$32.34	$64.65
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 $72.20 / $84.94 / $97.12	Professional		$72.20	$84.94	$97.12
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $30.83 / $36.77	Professional	26	$26.21	$30.83	$36.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $54.12 / $60.35	Professional	TC	$46.00	$54.12	$60.35
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $51.40 / $87.59	Professional		$40.78	$51.40	$87.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.32 / $17.10 / $31.57	Professional	26	$15.32	$17.10	$31.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $36.08 / $55.97	Professional	TC	$24.54	$36.08	$55.97