Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $216.52 / $289.94	Professional		$147.41	$216.52	$289.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $26.24 / $34.65	Professional	26	$21.69	$26.24	$34.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.45 / $186.50 / $251.29	Professional	TC	$124.45	$186.50	$251.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $251.44 / $344.72	Professional		$177.49	$251.44	$344.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.17 / $36.29 / $46.66	Professional	26	$26.17	$36.29	$46.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.16 / $212.74 / $263.11	Professional	TC	$150.16	$212.74	$263.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $529.97 / $529.97 / $638.74	Professional		$529.97	$529.97	$638.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.98 / $74.98 / $90.22	Professional	26	$74.98	$74.98	$90.22
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $439.75 / $439.75 / $563.75	Professional	TC	$439.75	$439.75	$563.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $270.86 / $308.58	Professional		$254.58	$270.86	$308.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $39.61 / $45.28	Professional	26	$37.36	$39.61	$45.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $217.22 / $230.39 / $263.30	Professional	TC	$217.22	$230.39	$263.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.57 / $273.83	Professional		$32.34	$41.57	$273.83
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $238.80 / $251.06	Professional		$218.99	$238.80	$251.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $34.83 / $39.25	Professional	26	$32.97	$34.83	$39.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $185.72 / $203.98 / $211.81	Professional	TC	$185.72	$203.98	$211.81
United Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $263.33 / $346.25	Professional		$175.56	$263.33	$346.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $36.00 / $46.89	Professional	26	$25.63	$36.00	$46.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.96 / $227.35 / $303.91	Professional	TC	$148.96	$227.35	$303.91