Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.63 / $38.02 / $38.78	Facility	26	$14.63	$38.02	$38.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $35.90 / $81.89	Professional		$17.14	$35.90	$81.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $14.44 / $31.95	Professional	26	$7.03	$14.44	$31.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $23.73 / $49.94	Professional	TC	$10.11	$23.73	$49.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $57.73 / $75.00	Professional		$20.01	$57.73	$75.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $22.17 / $28.80	Professional	26	$9.53	$22.17	$28.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.84 / $35.56 / $46.20	Professional	TC	$10.84	$35.56	$46.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.31 / $86.94	Professional		$78.31	$78.31	$86.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.47 / $55.47 / $55.47	Professional	26	$55.47	$55.47	$55.47
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $22.85 / $31.47	Professional	TC	$22.85	$22.85	$31.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $79.29 / $92.64	Professional		$68.84	$79.29	$92.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $25.48 / $29.12	Professional	26	$24.02	$25.48	$29.12
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.83 / $47.55 / $54.34	Professional	TC	$44.83	$47.55	$54.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $32.34 / $74.84	Professional		$22.08	$32.34	$74.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $936.81 / $936.81 / $936.81	Facility	26	$936.81	$936.81	$936.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $87.68 / $98.56	Professional		$74.53	$87.68	$98.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $30.83 / $36.67	Professional	26	$26.21	$30.83	$36.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.33 / $56.86 / $61.89	Professional	TC	$48.33	$56.86	$61.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $40.18 / $69.87	Professional		$18.72	$40.18	$69.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $16.23 / $25.98	Professional	26	$7.83	$16.23	$25.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.89 / $24.64 / $43.89	Professional	TC	$10.89	$24.64	$43.89