Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.50 / $17.50 / $17.50	Facility	26	$17.50	$17.50	$17.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $40.88 / $155.19	Professional		$35.25	$40.88	$155.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $14.71 / $22.50	Professional	26	$10.11	$14.71	$22.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $23.76 / $34.51	Professional	TC	$21.58	$23.76	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $48.37 / $66.84	Professional		$38.69	$48.37	$66.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $17.91 / $25.35	Professional	26	$13.89	$17.91	$25.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $31.98 / $41.49	Professional	TC	$24.25	$31.98	$41.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $141.49 / $232.13	Professional		$141.49	$141.49	$232.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.15 / $87.15 / $100.24	Professional	26	$87.15	$87.15	$100.24
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $131.88 / $131.88 / $131.88	Professional	TC	$131.88	$131.88	$131.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $51.52 / $58.88	Professional		$48.58	$51.52	$58.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $19.05 / $20.05	Professional	26	$16.55	$19.05	$20.05
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.03 / $36.88 / $42.61	Professional	TC	$32.03	$36.88	$42.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $32.34 / $47.36	Professional		$16.19	$32.34	$47.36
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $270.73 / $270.73 / $270.73	Facility	26	$270.73	$270.73	$270.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $43.01 / $49.11	Professional		$36.56	$43.01	$49.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.32 / $14.49 / $17.52	Professional	26	$12.32	$14.49	$17.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $24.24 / $28.52 / $31.58	Professional	TC	$24.24	$28.52	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $51.51 / $71.39	Professional		$37.89	$51.51	$71.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $20.50 / $27.21	Professional	26	$14.44	$20.50	$27.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $30.60 / $44.18	Professional	TC	$23.45	$30.60	$44.18