Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $11.82 / $13.34	Facility	26	$11.82	$11.82	$13.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $34.14 / $135.13	Professional		$25.55	$34.14	$135.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $10.81 / $38.89	Professional	26	$6.74	$10.81	$38.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $24.11 / $33.40	Professional	TC	$18.01	$24.11	$33.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $41.09 / $53.97	Professional		$29.22	$41.09	$53.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $11.05 / $14.16	Professional	26	$7.90	$11.05	$14.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $29.65 / $44.94	Professional	TC	$20.93	$29.65	$44.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $406.01	Professional		$154.88	$154.88	$406.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $28.70 / $61.78	Professional	26	$28.70	$28.70	$61.78
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $126.18 / $126.18 / $344.23	Professional	TC	$126.18	$126.18	$344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $41.90 / $47.88	Professional		$39.50	$41.90	$47.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $12.22 / $13.64	Professional	26	$11.20	$12.22	$13.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $30.00 / $38.04	Professional	TC	$28.28	$30.00	$38.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $30.36 / $42.98	Professional		$11.32	$30.36	$42.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $37.31 / $49.99	Professional		$36.97	$37.31	$49.99
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $10.45 / $13.57	Professional	26	$10.22	$10.45	$13.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $26.76 / $26.87 / $35.99	Professional	TC	$26.76	$26.87	$35.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $39.75 / $54.14	Professional		$28.42	$39.75	$54.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $11.44 / $14.29	Professional	26	$7.96	$11.44	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $28.62 / $38.97	Professional	TC	$20.52	$28.62	$38.97