Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.32 / $239.32 / $274.51	Facility	26	$239.32	$239.32	$274.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.25 / $492.32 / $908.83	Professional		$417.25	$492.32	$908.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.01 / $167.18 / $236.29	Professional	26	$94.01	$167.18	$236.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $374.06 / $562.62	Professional	TC	$302.52	$374.06	$562.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.67 / $689.41 / $790.31	Professional		$492.67	$689.41	$790.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.96 / $170.80 / $195.80	Professional	26	$122.96	$170.80	$195.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $362.55 / $518.61 / $600.10	Professional	TC	$362.55	$518.61	$600.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $644.74 / $683.81 / $964.06	Professional		$644.74	$683.81	$964.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $169.19 / $179.45 / $205.08	Professional	26	$169.19	$179.45	$205.08
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $475.55 / $504.37 / $576.41	Professional	TC	$475.55	$504.37	$576.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $151.96 / $700.64	Professional		$32.34	$151.96	$700.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $784.86 / $839.13 / $964.06	Professional		$784.86	$839.13	$964.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $198.12 / $214.41 / $255.19	Professional	26	$198.12	$214.41	$255.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $586.74 / $624.72 / $708.88	Professional	TC	$586.74	$624.72	$708.88
United Facility/Professional Professional Modifier Low / Median / High Price $485.25 / $571.78 / $868.35	Professional		$485.25	$571.78	$868.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.14 / $131.22 / $211.70	Professional	26	$115.14	$131.22	$211.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $370.11 / $390.15 / $662.31	Professional	TC	$370.11	$390.15	$662.31