Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.13 / $77.06 / $77.70	Facility	26	$44.13	$77.06	$77.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $136.13 / $582.00	Professional		$94.09	$136.13	$582.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $42.58 / $112.51	Professional	26	$27.82	$42.58	$112.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.03 / $96.17 / $140.58	Professional	TC	$64.03	$96.17	$140.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $152.02 / $201.44	Professional		$88.51	$152.02	$201.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $47.01 / $61.40	Professional	26	$32.00	$47.01	$61.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.05 / $105.99 / $137.21	Professional	TC	$59.05	$105.99	$137.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $256.32 / $306.54	Professional		$256.32	$256.32	$306.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.79 / $144.79 / $144.79	Professional	26	$144.79	$144.79	$144.79
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $111.53 / $111.53 / $161.75	Professional	TC	$111.53	$111.53	$161.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $178.93 / $213.30	Professional		$159.59	$178.93	$213.30
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $50.94 / $58.22	Professional	26	$48.03	$50.94	$58.22
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $111.54 / $118.30 / $135.19	Professional	TC	$111.54	$118.30	$135.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.41 / $173.55	Professional		$32.34	$54.41	$173.55
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 $174.68 / $205.50 / $237.68	Professional		$174.68	$205.50	$237.68
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $51.82 / $60.97 / $74.30	Professional	26	$51.82	$60.97	$74.30
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $122.86 / $144.54 / $163.38	Professional	TC	$122.86	$144.54	$163.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $126.96 / $234.99	Professional		$104.21	$126.96	$234.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $34.20 / $64.95	Professional	26	$31.31	$34.20	$64.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.87 / $95.65 / $190.61	Professional	TC	$60.87	$95.65	$190.61