Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.07 / $58.11 / $60.90	Facility	26	$33.07	$58.11	$60.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $51.49 / $159.19	Professional		$26.36	$51.49	$159.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $31.62 / $83.86	Professional	26	$17.17	$31.62	$83.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $20.77 / $65.15	Professional	TC	$9.18	$20.77	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $80.77 / $106.83	Professional		$36.90	$80.77	$106.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $36.14 / $47.66	Professional	26	$23.17	$36.14	$47.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.99 / $44.28 / $59.04	Professional	TC	$12.99	$44.28	$59.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $175.68	Professional		$124.23	$124.23	$175.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.78 / $112.78 / $113.01	Professional	26	$112.78	$112.78	$113.01
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $11.45 / $11.45 / $62.67	Professional	TC	$11.45	$11.45	$62.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $109.25 / $124.86	Professional		$103.01	$109.25	$124.86
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $55.48 / $63.40	Professional	26	$52.31	$55.48	$63.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $53.78 / $61.46	Professional	TC	$50.70	$53.78	$61.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.06 / $113.14	Professional		$32.34	$52.06	$113.14
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 $80.01 / $111.02 / $130.15	Professional		$80.01	$111.02	$130.15
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $46.75 / $66.44 / $80.14	Professional	26	$46.75	$66.44	$80.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $63.05 / $63.71	Professional	TC	$17.78	$63.05	$63.71
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $58.10 / $92.96	Professional		$34.72	$58.10	$92.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.83 / $26.22 / $47.49	Professional	26	$23.83	$26.22	$47.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.89 / $21.75 / $53.35	Professional	TC	$10.89	$21.75	$53.35