Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.74 / $32.74 / $32.74	Facility	26	$32.74	$32.74	$32.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $54.19 / $90.69	Professional		$34.85	$54.19	$90.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.87 / $31.37	Professional	26	$12.59	$14.87	$31.37
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.37 / $27.10 / $45.35	Professional	52	$19.37	$27.10	$45.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $31.60 / $63.17	Professional	TC	$22.26	$31.60	$63.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $64.20 / $81.81	Professional		$37.89	$64.20	$81.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $21.64 / $25.69	Professional	26	$15.27	$21.64	$25.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $43.10 / $55.15	Professional	TC	$25.62	$43.10	$55.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $141.79 / $190.06	Professional		$141.79	$141.79	$190.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.68 / $100.68 / $100.68	Professional	26	$100.68	$100.68	$100.68
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.11 / $41.11 / $41.11	Professional	TC	$41.11	$41.11	$41.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $77.42 / $105.02	Professional		$72.58	$77.42	$105.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $23.98 / $28.02	Professional	26	$20.82	$23.98	$28.02
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.78 / $59.62 / $72.58	Professional	TC	$51.78	$59.62	$72.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $32.34 / $78.55	Professional		$20.90	$32.34	$78.55
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 $79.19 / $93.16 / $105.02	Professional		$79.19	$93.16	$105.02
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $26.72 / $31.60	Professional	26	$22.71	$26.72	$31.60
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $56.47 / $66.44 / $73.42	Professional	TC	$56.47	$66.44	$73.42
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $47.12 / $83.24	Professional		$39.47	$47.12	$83.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $14.75 / $30.85	Professional	26	$14.07	$14.75	$30.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.84 / $32.29 / $57.81	Professional	TC	$24.84	$32.29	$57.81