Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $372.00 / $527.12	Facility		$94.60	$372.00	$527.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.97 / $33.97 / $34.58	Facility	26	$29.97	$33.97	$34.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $37.56 / $79.50	Professional		$30.45	$37.56	$79.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $15.01 / $38.22	Professional	26	$12.86	$15.01	$38.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $22.48 / $50.94	Professional	TC	$17.39	$22.48	$50.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $56.38 / $70.48	Professional		$34.71	$56.38	$70.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.38 / $22.28 / $27.07	Professional	26	$14.38	$22.28	$27.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $33.04 / $43.84	Professional	TC	$19.45	$33.04	$43.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $109.38 / $114.41	Professional		$109.38	$109.38	$114.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.69 / $68.69 / $68.83	Professional	26	$68.69	$68.69	$68.83
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $40.54 / $45.72	Professional	TC	$40.54	$40.54	$45.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $70.23 / $95.40	Facility		$35.92	$70.23	$95.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $67.15 / $76.98	Professional		$61.38	$67.15	$76.98
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $23.94 / $25.88	Professional	26	$21.35	$23.94	$25.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $46.09 / $61.38	Professional	TC	$40.03	$46.09	$61.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $32.34 / $66.77	Professional		$19.69	$32.34	$66.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $78.77 / $91.93	Professional		$66.70	$78.77	$91.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.87 / $28.08 / $33.49	Professional	26	$23.87	$28.08	$33.49
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.81 / $50.69 / $58.43	Professional	TC	$42.81	$50.69	$58.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $39.14 / $70.72	Professional		$35.40	$39.14	$70.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $15.54 / $27.89	Professional	26	$14.68	$15.54	$27.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $23.55 / $42.15	Professional	TC	$20.01	$23.55	$42.15