Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.15 / $37.38 / $37.38	Facility	26	$27.15	$37.38	$37.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.64 / $96.58	Professional		$25.85	$31.64	$96.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $29.91	Professional	26	$7.33	$8.55	$29.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.10 / $66.68	Professional	TC	$18.53	$23.10	$66.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $79.93 / $115.16	Professional		$49.97	$79.93	$115.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $25.91 / $30.06	Professional	26	$13.25	$25.91	$30.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.72 / $54.02 / $85.11	Professional	TC	$36.72	$54.02	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $96.06 / $202.62	Professional		$61.38	$96.06	$202.62
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.54 / $27.33 / $72.54	Professional	26	$22.54	$27.33	$72.54
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $57.08 / $70.83 / $166.92	Professional	TC	$57.08	$70.83	$166.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $133.65 / $194.45	Professional		$103.75	$133.65	$194.45
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.00 / $35.10 / $53.64	Professional	26	$30.00	$35.10	$53.64
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.75 / $98.55 / $138.44	Professional	TC	$73.75	$98.55	$138.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $101.40 / $183.30	Professional		$42.20	$101.40	$183.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.00 / $36.00 / $54.84	Professional	26	$24.00	$36.00	$54.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $60.00 / $94.50 / $137.50	Professional	TC	$60.00	$94.50	$137.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $84.20 / $186.01	Professional		$36.65	$84.20	$186.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.94 / $24.69 / $65.18	Professional	26	$11.94	$24.69	$65.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $61.86 / $120.83	Professional	TC	$24.71	$61.86	$120.83