Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.63 / $46.37 / $61.32	Facility	26	$34.63	$46.37	$61.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $83.82 / $261.00	Professional		$41.75	$83.82	$261.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $36.35 / $106.66	Professional	26	$21.37	$36.35	$106.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $23.98 / $42.00	Professional	TC	$19.45	$23.98	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $69.25 / $92.29	Professional		$45.14	$69.25	$92.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $36.81 / $48.08	Professional	26	$24.67	$36.81	$48.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $31.57 / $41.50	Professional	TC	$20.47	$31.57	$41.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $90.22 / $155.50	Professional		$90.22	$90.22	$155.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.30 / $93.30 / $123.28	Professional	26	$93.30	$93.30	$123.28
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $62.20 / $62.20 / $123.28	Professional	TC	$62.20	$62.20	$123.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $79.00 / $106.85	Professional		$70.45	$79.00	$106.85
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $39.61 / $50.26	Professional	26	$35.09	$39.61	$50.26
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $35.09 / $40.10	Professional	TC	$33.08	$35.09	$40.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.34 / $77.94	Professional		$19.95	$32.34	$77.94
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 $78.02 / $91.79 / $106.85	Professional		$78.02	$91.79	$106.85
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $47.95 / $58.04	Professional	26	$40.76	$47.95	$58.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $37.26 / $43.84 / $48.82	Professional	TC	$37.26	$43.84	$48.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $50.16 / $89.76	Professional		$44.25	$50.16	$89.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $26.98 / $48.84	Professional	26	$24.51	$26.98	$48.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $23.12 / $41.49	Professional	TC	$19.73	$23.12	$41.49