Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.14 / $24.63 / $24.63	Facility	26	$14.14	$24.63	$24.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.71 / $62.03	Professional		$25.76	$31.71	$62.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.81 / $20.70	Professional	26	$8.48	$9.81	$20.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $22.19 / $41.33	Professional	TC	$17.28	$22.19	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $48.77 / $57.38	Professional		$28.97	$48.77	$57.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $16.16 / $19.14	Professional	26	$11.65	$16.16	$19.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $32.50 / $38.65	Professional	TC	$18.00	$32.50	$38.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $128.28 / $142.41	Professional		$128.28	$128.28	$142.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.69 / $149.69 / $150.00	Professional	26	$149.69	$149.69	$150.00
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $149.69 / $149.69 / $150.00	Professional	TC	$149.69	$149.69	$150.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $54.34 / $68.93	Professional		$44.00	$54.34	$68.93
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 $36.29 / $41.87 / $54.34	Professional	TC	$36.29	$41.87	$54.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $32.34 / $49.88	Professional		$15.17	$32.34	$49.88
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $156.94	Facility	26	$156.94	$156.94	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $65.08 / $73.33	Professional		$55.32	$65.08	$73.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $19.18 / $23.75	Professional	26	$16.30	$19.18	$23.75
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.02 / $45.90 / $49.59	Professional	TC	$39.02	$45.90	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $33.27 / $60.28	Professional		$21.12	$33.27	$60.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $11.03 / $23.29	Professional	26	$7.64	$11.03	$23.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $23.55 / $38.03	Professional	TC	$13.17	$23.55	$38.03