Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.14 / $77.95 / $79.86	Facility	26	$45.14	$77.95	$79.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $154.00 / $449.00	Professional		$82.59	$154.00	$449.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $51.92 / $160.88	Professional	26	$27.64	$51.92	$160.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.83 / $65.29 / $117.28	Professional	TC	$45.83	$65.29	$117.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $124.11 / $162.13	Professional		$81.97	$124.11	$162.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.68 / $47.85 / $61.21	Professional	26	$32.68	$47.85	$61.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.29 / $76.81 / $96.50	Professional	TC	$49.29	$76.81	$96.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $230.69 / $270.20	Professional		$230.69	$230.69	$270.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.68 / $125.68 / $210.61	Professional	26	$125.68	$125.68	$210.61
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $59.59 / $59.59 / $105.01	Professional	TC	$59.59	$59.59	$105.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $144.82 / $174.59	Professional		$129.16	$144.82	$174.59
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.10 / $56.54 / $80.06	Professional	26	$49.10	$56.54	$80.06
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $80.06 / $84.91 / $97.04	Professional	TC	$80.06	$84.91	$97.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.21 / $126.75	Professional		$32.34	$44.21	$126.75
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $166.46 / $192.41	Professional		$141.49	$166.46	$192.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.99 / $62.34 / $75.93	Professional	26	$52.99	$62.34	$75.93
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $88.50 / $104.12 / $116.48	Professional	TC	$88.50	$104.12	$116.48
United Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $93.26 / $172.61	Professional		$85.53	$93.26	$172.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $33.29 / $62.55	Professional	26	$31.31	$33.29	$62.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $61.95 / $114.66	Professional	TC	$52.33	$61.95	$114.66