Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $63.76 / $143.96	Professional		$39.33	$63.76	$143.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.63 / $33.46 / $36.81	Professional	26	$24.63	$33.46	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $30.46 / $97.42	Professional	TC	$21.47	$30.46	$97.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $61.68 / $136.68	Professional		$45.54	$61.68	$136.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.19 / $35.42 / $44.83	Professional	26	$26.19	$35.42	$44.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $27.77 / $91.86	Professional	TC	$19.30	$27.77	$91.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $63.69 / $214.61	Professional		$63.69	$63.69	$214.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $34.96 / $142.01	Professional	26	$34.96	$34.96	$142.01
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.73 / $28.73 / $72.59	Professional	TC	$28.73	$28.73	$72.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $71.29 / $83.29	Professional		$61.91	$71.29	$83.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $38.72 / $45.24	Professional	26	$33.63	$38.72	$45.24
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $32.57 / $38.04	Professional	TC	$28.28	$32.57	$38.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.34 / $68.19	Professional		$23.90	$32.34	$68.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $217.18 / $217.18 / $217.18	Facility	26	$217.18	$217.18	$217.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $52.42 / $63.59	Professional		$49.72	$52.42	$63.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $28.22 / $35.72	Professional	26	$26.78	$28.22	$35.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $22.78 / $24.19 / $27.87	Professional	TC	$22.78	$24.19	$27.87
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $64.90 / $187.99	Professional		$39.70	$64.90	$187.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $34.54 / $57.68	Professional	26	$22.74	$34.54	$57.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $31.95 / $154.21	Professional	TC	$16.96	$31.95	$154.21