Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.54 / $59.02 / $60.93	Facility	26	$33.54	$59.02	$60.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $86.47 / $311.95	Professional		$55.79	$86.47	$311.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $24.10 / $68.44	Professional	26	$16.92	$24.10	$68.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $54.66 / $70.76	Professional	TC	$21.16	$54.66	$70.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $75.66 / $124.63	Professional		$51.20	$75.66	$124.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $35.56 / $47.03	Professional	26	$21.29	$35.56	$47.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $38.38 / $76.69	Professional	TC	$25.88	$38.38	$76.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.12 / $247.12 / $427.36	Professional		$247.12	$247.12	$427.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.49 / $90.49 / $93.49	Professional	26	$90.49	$90.49	$93.49
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $153.63 / $153.63 / $336.87	Professional	TC	$153.63	$153.63	$336.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $89.76 / $115.69	Professional		$80.06	$89.76	$115.69
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $39.61 / $45.28	Professional	26	$37.36	$39.61	$45.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $45.29 / $51.76	Professional	TC	$42.70	$45.29	$51.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.60 / $87.96	Professional		$32.34	$40.60	$87.96
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 $86.17 / $101.38 / $115.69	Professional		$86.17	$101.38	$115.69
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $47.27 / $57.65	Professional	26	$40.18	$47.27	$57.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.82 / $54.12 / $58.04	Professional	TC	$45.82	$54.12	$58.04
United Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $93.15 / $182.75	Professional		$49.44	$93.15	$182.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.60 / $41.67	Professional	26	$19.05	$26.60	$41.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $48.36 / $151.83	Professional	TC	$24.18	$48.36	$151.83