Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.94 / $13.54 / $17.07	Facility	26	$11.94	$13.54	$17.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $39.92 / $70.68	Professional		$30.51	$39.92	$70.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	25	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.38 / $23.35	Professional	26	$7.95	$11.38	$23.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.52 / $35.58	Professional	TC	$19.95	$28.52	$35.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $42.94 / $61.75	Professional		$30.69	$42.94	$61.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $12.42 / $16.22	Professional	26	$8.34	$12.42	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $31.19 / $45.07	Professional	TC	$21.93	$31.19	$45.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $43.76 / $53.04	Professional		$29.70	$43.76	$53.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $12.80 / $15.52	Professional	26	$9.16	$12.80	$15.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.14 / $32.83 / $37.52	Professional	TC	$22.14	$32.83	$37.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.34 / $42.53	Professional		$14.45	$32.34	$42.53
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $270.73 / $270.73 / $270.73	Facility	26	$270.73	$270.73	$270.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $40.79 / $55.08	Professional		$34.68	$40.79	$55.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $11.94 / $13.55	Professional	26	$10.15	$11.94	$13.55
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $28.85 / $42.12	Professional	TC	$24.52	$28.85	$42.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $48.00 / $66.78	Professional		$35.42	$48.00	$66.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $11.51 / $15.36	Professional	26	$8.64	$11.51	$15.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $36.90 / $48.64	Professional	TC	$28.88	$36.90	$48.64