Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $179.30 / $213.44	Professional		$127.38	$179.30	$213.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $66.15 / $91.76	Professional	26	$57.28	$66.15	$91.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.67 / $100.56 / $142.32	Professional	TC	$63.67	$100.56	$142.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $190.60 / $237.35	Professional		$129.38	$190.60	$237.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.45 / $90.97 / $119.13	Professional	26	$65.45	$90.97	$119.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.80 / $91.81 / $146.47	Professional	TC	$64.80	$91.81	$146.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $283.19 / $283.19 / $586.91	Professional		$283.19	$283.19	$586.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $301.58 / $301.58 / $342.51	Professional	26	$301.58	$301.58	$342.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $244.40 / $244.40 / $301.58	Professional	TC	$244.40	$244.40	$301.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $198.12 / $226.42	Professional		$186.80	$198.12	$226.42
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.93 / $99.63 / $113.86	Professional	26	$93.93	$99.63	$113.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $92.86 / $98.49 / $112.56	Professional	TC	$92.86	$98.49	$112.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $89.18 / $106.92	Professional		$32.34	$89.18	$106.92
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $174.62 / $190.29	Professional		$158.47	$174.62	$190.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $79.93 / $87.56 / $99.25	Professional	26	$79.93	$87.56	$99.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $78.54 / $87.06 / $91.04	Professional	TC	$78.54	$87.06	$91.04
United Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $214.20 / $295.80	Professional		$131.11	$214.20	$295.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.45 / $89.60 / $117.26	Professional	26	$64.45	$89.60	$117.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $111.14 / $184.23	Professional	TC	$61.71	$111.14	$184.23