Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.15 / $41.56 / $46.50	Facility	26	$40.15	$41.56	$46.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $131.96 / $478.71	Professional		$97.68	$131.96	$478.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $34.93 / $115.36	Professional	26	$22.52	$34.93	$115.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.16 / $91.07 / $131.94	Professional	TC	$74.16	$91.07	$131.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $155.63 / $213.92	Professional		$108.62	$155.63	$213.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $38.86 / $49.80	Professional	26	$27.43	$38.86	$49.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.28 / $115.22 / $144.28	Professional	TC	$78.28	$115.22	$144.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.32 / $602.32 / $897.13	Professional		$602.32	$602.32	$897.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $211.15 / $211.15 / $243.49	Professional	26	$211.15	$211.15	$243.49
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $358.83 / $358.83 / $685.98	Professional	TC	$358.83	$358.83	$685.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $160.57 / $188.90	Professional		$141.68	$160.57	$188.90
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $41.32 / $47.22	Professional	26	$38.96	$41.32	$47.22
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $116.89 / $123.97 / $141.68	Professional	TC	$116.89	$123.97	$141.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.63 / $169.18	Professional		$32.34	$57.63	$169.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $147.26 / $180.54	Professional		$143.03	$147.26	$180.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $36.32 / $46.02	Professional	26	$35.51	$36.32	$46.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $107.52 / $110.94 / $134.52	Professional	TC	$107.52	$110.94	$134.52
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $150.66 / $189.72	Professional		$100.69	$150.66	$189.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $37.97 / $49.65	Professional	26	$27.36	$37.97	$49.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.27 / $115.35 / $140.07	Professional	TC	$78.27	$115.35	$140.07