Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.72 / $37.09 / $38.29	Facility	26	$32.72	$37.09	$38.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $79.70 / $109.99	Professional		$48.10	$79.70	$109.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $14.47 / $31.17	Professional	26	$7.33	$14.47	$31.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.28 / $62.20 / $78.90	Professional	TC	$32.28	$62.20	$78.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $69.72 / $97.52	Professional		$51.74	$69.72	$97.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $23.14 / $28.83	Professional	26	$10.33	$23.14	$28.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.83 / $44.66 / $88.00	Professional	TC	$32.83	$44.66	$88.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $230.91 / $308.22	Professional		$230.91	$230.91	$308.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.36 / $83.36 / $134.36	Professional	26	$83.36	$83.36	$134.36
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $96.55 / $96.55 / $224.86	Professional	TC	$96.55	$96.55	$224.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $79.29 / $100.76	Professional		$68.84	$79.29	$100.76
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $25.48 / $47.55	Professional	26	$24.02	$25.48	$47.55
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.83 / $51.62 / $60.32	Professional	TC	$44.83	$51.62	$60.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $32.34 / $66.84	Professional		$22.35	$32.34	$66.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $87.68 / $100.76	Professional		$74.53	$87.68	$100.76
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $30.14 / $36.57	Professional	26	$25.62	$30.14	$36.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.91 / $57.54 / $64.19	Professional	TC	$48.91	$57.54	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $65.69 / $108.79	Professional		$42.59	$65.69	$108.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.88 / $25.41	Professional	26	$8.51	$15.88	$25.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $50.33 / $94.00	Professional	TC	$26.71	$50.33	$94.00