Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.89 / $18.89 / $36.61	Facility	26	$18.89	$18.89	$36.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $61.59 / $101.99	Professional		$51.24	$61.59	$101.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $15.46 / $30.89	Professional	26	$13.50	$15.46	$30.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.71 / $44.55 / $71.11	Professional	TC	$37.71	$44.55	$71.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $81.23 / $97.96	Professional		$58.06	$81.23	$97.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $24.23 / $28.57	Professional	26	$16.63	$24.23	$28.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.43 / $56.95 / $68.68	Professional	TC	$41.43	$56.95	$68.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.57 / $256.57 / $284.82	Professional		$256.57	$256.57	$284.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.88 / $46.88 / $108.77	Professional	26	$46.88	$46.88	$108.77
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $147.80 / $147.80 / $147.80	Professional	TC	$147.80	$147.80	$147.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $99.56 / $116.33	Professional		$86.46	$99.56	$116.33
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $25.82 / $27.18	Professional	26	$22.42	$25.82	$27.18
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $64.05 / $73.76 / $77.64	Professional	TC	$64.05	$73.76	$77.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $32.34 / $84.07	Professional		$22.89	$32.34	$84.07
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 $93.16 / $109.60 / $121.16	Professional		$93.16	$109.60	$121.16
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $28.77 / $35.43	Professional	26	$24.45	$28.77	$35.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $80.83 / $85.72	Professional	TC	$68.70	$80.83	$85.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $57.00 / $101.99	Professional		$39.26	$57.00	$101.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $15.92 / $28.82	Professional	26	$10.69	$15.92	$28.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $40.92 / $73.43	Professional	TC	$28.44	$40.92	$73.43