Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.22 / $42.22 / $42.22	Facility	26	$42.22	$42.22	$42.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $46.20 / $94.65	Professional		$37.59	$46.20	$94.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $17.30 / $34.79	Professional	26	$14.08	$17.30	$34.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $30.57 / $59.86	Professional	TC	$23.51	$30.57	$59.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $68.56 / $83.87	Professional		$41.99	$68.56	$83.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.84 / $27.25 / $32.18	Professional	26	$17.84	$27.25	$32.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $41.49 / $53.00	Professional	TC	$24.78	$41.49	$53.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $164.74 / $366.60	Professional		$164.74	$164.74	$366.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.14 / $34.14 / $98.10	Professional	26	$34.14	$34.14	$98.10
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $66.64 / $66.64 / $66.64	Professional	TC	$66.64	$66.64	$66.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $85.42 / $99.81	Professional		$74.18	$85.42	$99.81
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $30.12 / $33.21	Professional	26	$26.15	$30.12	$33.21
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $55.31 / $60.04	Professional	TC	$48.03	$55.31	$60.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $32.34 / $80.67	Professional		$26.39	$32.34	$80.67
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 $82.10 / $96.59 / $110.28	Professional		$82.10	$96.59	$110.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $33.57 / $39.93	Professional	26	$28.53	$33.57	$39.93
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $53.57 / $63.02 / $70.34	Professional	TC	$53.57	$63.02	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $49.02 / $87.54	Professional		$42.55	$49.02	$87.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $17.68 / $33.31	Professional	26	$16.68	$17.68	$33.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $30.40 / $52.38	Professional	TC	$25.87	$30.40	$52.38