Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.77 / $100.74 / $103.40	Facility	26	$57.77	$100.74	$103.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $311.87 / $560.29	Professional		$229.62	$311.87	$560.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $44.37 / $84.66	Professional	26	$36.75	$44.37	$84.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $267.50 / $475.64	Professional	TC	$192.87	$267.50	$475.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $461.88 / $523.27	Professional		$239.10	$461.88	$523.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.50 / $67.09 / $79.23	Professional	26	$46.50	$67.09	$79.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.61 / $394.79 / $447.16	Professional	TC	$192.61	$394.79	$447.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.70 / $448.32 / $512.36	Professional		$422.70	$448.32	$512.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $67.36 / $76.98	Professional	26	$63.51	$67.36	$76.98
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $359.19 / $380.96 / $435.38	Professional	TC	$359.19	$380.96	$435.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $456.34	Professional		$32.34	$32.34	$456.34
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 $523.88 / $553.48 / $639.12	Professional		$523.88	$553.48	$639.12
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $80.83 / $97.86	Professional	26	$75.56	$80.83	$97.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $448.31 / $472.65 / $541.26	Professional	TC	$448.31	$472.65	$541.26
United Facility/Professional Professional Modifier Low / Median / High Price $219.01 / $295.86 / $544.61	Professional		$219.01	$295.86	$544.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $45.99 / $82.29	Professional	26	$35.01	$45.99	$82.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.00 / $281.57 / $459.21	Professional	TC	$184.00	$281.57	$459.21