Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.28 / $25.03 / $25.03	Facility	26	$24.28	$25.03	$25.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $57.69 / $203.94	Professional		$26.62	$57.69	$203.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $12.90 / $29.71	Professional	26	$8.83	$12.90	$29.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $32.64 / $73.59	Professional	TC	$16.00	$32.64	$73.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $38.07 / $72.80	Professional		$27.56	$38.07	$72.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.75 / $18.53	Professional	26	$11.22	$15.75	$18.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $21.06 / $61.58	Professional	TC	$15.48	$21.06	$61.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $215.31 / $306.54	Professional		$215.31	$215.31	$306.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.08 / $78.08 / $78.08	Professional	26	$78.08	$78.08	$78.08
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $228.46 / $228.46 / $228.46	Professional	TC	$228.46	$228.46	$228.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $47.33 / $56.42	Professional		$41.10	$47.33	$56.42
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $17.21 / $20.11	Professional	26	$14.95	$17.21	$20.11
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $30.12 / $35.19	Professional	TC	$26.15	$30.12	$35.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $32.34 / $40.11	Professional		$13.44	$32.34	$40.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $51.38 / $56.42	Professional		$43.67	$51.38	$56.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $19.18 / $22.98	Professional	26	$16.30	$19.18	$22.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $32.20 / $33.44	Professional	TC	$25.89	$32.20	$33.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $39.75 / $127.00	Professional		$19.94	$39.75	$127.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.65 / $20.10	Professional	26	$8.39	$10.65	$20.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $25.15 / $106.90	Professional	TC	$11.35	$25.15	$106.90