Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.07 / $67.23 / $111.13	Facility	26	$39.07	$67.23	$111.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $115.48 / $210.27	Professional		$57.64	$115.48	$210.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $28.91 / $66.53	Professional	26	$23.62	$28.91	$66.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $74.59 / $98.28	Professional	TC	$18.29	$74.59	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $110.86 / $172.14	Professional		$73.91	$110.86	$172.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $47.39 / $62.41	Professional	26	$32.95	$47.39	$62.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.89 / $57.55 / $114.47	Professional	TC	$33.89	$57.55	$114.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.94 / $297.94 / $303.83	Professional		$297.94	$297.94	$303.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.86 / $144.86 / $145.19	Professional	26	$144.86	$144.86	$145.19
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $153.08 / $153.08 / $158.63	Professional	TC	$153.08	$153.08	$158.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $85.39 / $103.50	Professional		$68.31	$85.39	$103.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.31 / $81.97 / $103.50	Professional	26	$68.31	$81.97	$103.50
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $18.11 / $20.70	Professional	TC	$17.07	$18.11	$20.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $32.34 / $95.45	Professional		$16.19	$32.34	$95.45
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 $93.75 / $110.29 / $130.13	Professional		$93.75	$110.29	$130.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $60.30 / $87.68 / $105.14	Professional	26	$60.30	$87.68	$105.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $22.61 / $56.95	Professional	TC	$20.79	$22.61	$56.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $123.22 / $244.82	Professional		$79.04	$123.22	$244.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $33.82 / $64.53	Professional	26	$30.30	$33.82	$64.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $91.61 / $171.98	Professional	TC	$46.92	$91.61	$171.98