Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.60 / $23.83 / $24.28	Facility	26	$13.60	$23.83	$24.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $86.79 / $186.55	Professional		$45.15	$86.79	$186.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $10.63 / $22.83	Professional	26	$9.03	$10.63	$22.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.60 / $61.45 / $96.77	Professional	TC	$34.60	$61.45	$96.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $62.11 / $124.35	Professional		$46.58	$62.11	$124.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $15.75 / $18.53	Professional	26	$11.24	$15.75	$18.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.07 / $46.34 / $85.13	Professional	TC	$34.07	$46.34	$85.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.62 / $401.62 / $543.40	Professional		$401.62	$401.62	$543.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.88 / $70.88 / $144.86	Professional	26	$70.88	$70.88	$144.86
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $256.76 / $256.76 / $472.52	Professional	TC	$256.76	$256.76	$472.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $72.52 / $88.71	Professional		$62.98	$72.52	$88.71
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $17.21 / $20.11	Professional	26	$14.95	$17.21	$20.11
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $55.31 / $64.62	Professional	TC	$48.03	$55.31	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $32.34 / $61.18	Professional		$15.17	$32.34	$61.18
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 $68.13 / $80.15 / $88.71	Professional		$68.13	$80.15	$88.71
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $19.18 / $22.98	Professional	26	$16.30	$19.18	$22.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $51.82 / $60.97 / $65.73	Professional	TC	$51.82	$60.97	$65.73
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $42.18 / $99.87	Professional		$29.24	$42.18	$99.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $10.65 / $20.22	Professional	26	$7.21	$10.65	$20.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $34.28 / $84.97	Professional	TC	$21.86	$34.28	$84.97