Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.54 / $59.02 / $59.51	Facility	26	$33.54	$59.02	$59.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $295.04 / $449.15	Professional		$221.90	$295.04	$449.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $26.21 / $49.60	Professional	26	$20.60	$26.21	$49.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.28 / $268.83 / $399.55	Professional	TC	$201.28	$268.83	$399.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $367.72 / $444.23	Professional		$258.69	$367.72	$444.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $39.00 / $46.44	Professional	26	$27.17	$39.00	$46.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.52 / $328.73 / $397.79	Professional	TC	$231.52	$328.73	$397.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.11 / $362.85 / $514.33	Professional		$342.11	$362.85	$514.33
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $39.06 / $44.64	Professional	26	$36.83	$39.06	$44.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $305.27 / $323.79 / $370.04	Professional	TC	$305.27	$323.79	$370.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.34	Professional		$32.34	$32.34	$368.34
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $731.61	Facility	26	$731.61	$731.61	$731.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $422.91 / $447.30 / $514.33	Professional		$422.91	$447.30	$514.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $46.58 / $56.88	Professional	26	$43.82	$46.58	$56.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $379.10 / $400.73 / $457.45	Professional	TC	$379.10	$400.73	$457.45
United Facility/Professional Professional Modifier Low / Median / High Price $206.29 / $283.70 / $466.47	Professional		$206.29	$283.70	$466.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $26.22 / $46.92	Professional	26	$20.26	$26.22	$46.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.14 / $234.45 / $419.55	Professional	TC	$178.14	$234.45	$419.55