Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.32 / $27.65 / $54.10	Facility	26	$26.32	$27.65	$54.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $50.14 / $103.70	Professional		$46.14	$50.14	$103.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $26.34 / $44.08	Professional	26	$25.82	$26.34	$44.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $22.76 / $31.42	Professional	TC	$19.92	$22.76	$31.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $106.74 / $107.01	Professional		$106.74	$106.74	$107.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $106.74 / $106.74 / $107.01	Professional	26	$106.74	$106.74	$107.01
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $106.74 / $106.74 / $107.01	Professional	TC	$106.74	$106.74	$107.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $81.13 / $85.40	Professional		$70.45	$81.13	$85.40
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.36 / $52.23 / $54.98	Professional	26	$45.36	$52.23	$54.98
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $28.88 / $30.40	Professional	TC	$25.08	$28.88	$30.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $30.00 / $78.00	Professional		$23.71	$30.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $49.41 / $49.41 / $49.41	Facility	26	$49.41	$49.41	$49.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $70.65 / $82.70	Professional		$60.05	$70.65	$82.70
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $41.79 / $45.01	Professional	26	$35.52	$41.79	$45.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $28.85 / $37.68	Professional	TC	$24.12	$28.85	$37.68
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $61.53 / $105.40	Professional		$58.90	$61.53	$105.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $33.75 / $57.81	Professional	26	$32.20	$33.75	$57.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $27.78 / $47.59	Professional	TC	$26.60	$27.78	$47.59