Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.84 / $53.84 / $53.84	Facility	26	$53.84	$53.84	$53.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $77.81 / $132.06	Professional		$63.02	$77.81	$132.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $23.58 / $44.41	Professional	26	$19.57	$23.58	$44.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.42 / $54.25 / $87.65	Professional	TC	$43.42	$54.25	$87.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $101.23 / $122.07	Professional		$68.01	$101.23	$122.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $34.92 / $41.08	Professional	26	$24.42	$34.92	$41.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.59 / $66.31 / $79.97	Professional	TC	$43.59	$66.31	$79.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $182.30 / $202.37	Professional		$182.30	$182.30	$202.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.10 / $98.10 / $98.10	Professional	26	$98.10	$98.10	$98.10
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $84.20 / $84.20 / $84.20	Professional	TC	$84.20	$84.20	$84.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $120.46 / $140.75	Professional		$104.61	$120.46	$140.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $38.10 / $47.40	Professional	26	$33.08	$38.10	$47.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $71.51 / $81.37 / $86.68	Professional	TC	$71.51	$81.37	$86.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.50 / $102.27	Professional		$32.34	$37.50	$102.27
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 $114.12 / $134.26 / $152.81	Professional		$114.12	$134.26	$152.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $42.47 / $50.94	Professional	26	$36.10	$42.47	$50.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $78.02 / $91.79 / $101.87	Professional	TC	$78.02	$91.79	$101.87
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $70.80 / $121.04	Professional		$64.23	$70.80	$121.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $23.94 / $43.76	Professional	26	$22.13	$23.94	$43.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $48.67 / $94.99	Professional	TC	$41.50	$48.67	$94.99