Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $136.69 / $136.69	Facility		$136.69	$136.69	$136.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $114.88 / $136.69	Professional		$74.79	$114.88	$136.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $41.81 / $49.75	Professional	26	$24.58	$41.81	$49.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.20 / $73.06 / $90.98	Professional	TC	$50.20	$73.06	$90.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $48.93 / $57.57	Professional		$48.93	$48.93	$57.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.88 / $18.38 / $21.62	Professional	26	$17.88	$18.38	$21.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $30.56 / $35.95	Professional	TC	$30.56	$30.56	$35.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $96.21 / $120.62	Facility		$61.71	$96.21	$120.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $112.08 / $125.67	Professional		$106.84	$112.08	$125.67
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.70 / $36.79 / $38.90	Professional	26	$34.70	$36.79	$38.90
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $77.39 / $82.08 / $86.77	Professional	TC	$77.39	$82.08	$86.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $82.76	Professional		$32.34	$32.34	$82.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $114.65 / $120.61	Professional		$99.04	$114.65	$120.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $37.04 / $37.83 / $38.06	Professional	26	$37.04	$37.83	$38.06
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $61.26 / $76.81 / $82.56	Professional	TC	$61.26	$76.81	$82.56
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $42.48 / $86.54	Professional		$37.90	$42.48	$86.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $14.08 / $23.46	Professional	26	$12.87	$14.08	$23.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $29.61 / $55.58	Professional	TC	$23.82	$29.61	$55.58