Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.00 / $91.40 / $104.10	Facility	26	$81.00	$91.40	$104.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $306.55 / $470.17	Professional		$235.78	$306.55	$470.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.51 / $92.35 / $327.04	Professional	26	$61.51	$92.35	$327.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.04 / $195.52 / $357.62	Professional	TC	$161.04	$195.52	$357.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.38 / $428.37 / $679.37	Professional		$302.38	$428.37	$679.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.21 / $90.80 / $144.41	Professional	26	$61.21	$90.80	$144.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.28 / $330.40 / $470.05	Professional	TC	$238.28	$330.40	$470.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $513.70 / $770.87	Professional		$513.70	$513.70	$770.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $428.57 / $428.57 / $429.45	Professional	26	$428.57	$428.57	$429.45
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $85.13 / $85.13 / $341.42	Professional	TC	$85.13	$85.13	$341.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $454.73 / $505.26	Professional		$416.84	$454.73	$505.26
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.46 / $91.70 / $104.80	Professional	26	$86.46	$91.70	$104.80
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $330.36 / $350.39 / $400.44	Professional	TC	$330.36	$350.39	$400.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.27 / $450.65	Professional		$32.34	$97.27	$450.65
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 $369.60 / $394.52 / $427.25	Professional		$369.60	$394.52	$427.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.31 / $80.59 / $91.75	Professional	26	$75.31	$80.59	$91.75
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $294.29 / $313.92 / $335.50	Professional	TC	$294.29	$313.92	$335.50
United Facility/Professional Professional Modifier Low / Median / High Price $297.54 / $500.49 / $705.60	Professional		$297.54	$500.49	$705.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.95 / $117.45 / $151.38	Professional	26	$61.95	$117.45	$151.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.59 / $377.96 / $481.04	Professional	TC	$235.59	$377.96	$481.04