Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.22 / $5.22 / $5.74	Facility	26	$5.22	$5.22	$5.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $39.09 / $114.60	Professional		$23.58	$39.09	$114.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $4.69 / $15.00	Professional	26	$3.02	$4.69	$15.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.79 / $15.84 / $20.17	Professional	52	$11.79	$15.84	$20.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $33.75 / $56.46	Professional	TC	$24.23	$33.75	$56.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $38.49 / $63.20	Professional		$27.17	$38.49	$63.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.59 / $5.16 / $6.26	Professional	26	$3.59	$5.16	$6.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $33.29 / $52.11	Professional	TC	$23.50	$33.29	$52.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $555.71	Professional		$76.80	$76.80	$555.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $14.07 / $61.51	Professional	26	$14.07	$14.07	$61.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $62.73 / $62.73 / $494.20	Professional	TC	$62.73	$62.73	$494.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $38.50 / $44.00	Professional		$36.29	$38.50	$44.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.80 / $5.09 / $5.82	Professional	26	$4.80	$5.09	$5.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.48 / $34.34 / $38.15	Professional	TC	$31.48	$34.34	$38.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $32.34 / $33.79	Professional		$4.99	$32.34	$33.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.82 / $46.66	Professional		$34.54	$34.82	$46.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $4.38 / $4.48 / $6.00	Professional	26	$4.38	$4.48	$6.00
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $30.16 / $30.35 / $40.65	Professional	TC	$30.16	$30.35	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $37.52 / $52.29	Professional		$26.60	$37.52	$52.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.43 / $4.95 / $6.59	Professional	26	$3.43	$4.95	$6.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.11 / $32.40 / $45.37	Professional	TC	$23.11	$32.40	$45.37