Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $173.36 / $178.64	Facility		$121.80	$173.36	$178.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $80.62 / $184.17 / $186.96	Facility	TC	$80.62	$184.17	$186.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $119.43 / $142.12	Professional		$98.53	$119.43	$142.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.77 / $51.68 / $61.49	Professional	26	$41.77	$51.68	$61.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.07 / $67.75 / $80.62	Professional	TC	$48.07	$67.75	$80.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $52.23 / $61.45	Professional		$52.23	$52.23	$61.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $22.72 / $26.72	Professional	26	$22.03	$22.72	$26.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.52 / $29.52 / $34.72	Professional	TC	$29.52	$29.52	$34.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.62 / $125.40 / $169.09	Facility		$94.62	$125.40	$169.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $108.67 / $121.47	Professional		$108.34	$108.67	$121.47
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $45.29 / $47.88	Professional	26	$42.70	$45.29	$47.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $69.63 / $73.61	Professional	TC	$65.65	$69.63	$73.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.79 / $118.95	Professional		$32.34	$48.79	$118.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $115.82 / $119.44	Professional		$108.67	$115.82	$119.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $46.84 / $46.95	Professional	26	$45.76	$46.84	$46.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $62.91 / $69.26 / $72.59	Professional	TC	$62.91	$69.26	$72.59
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $61.47 / $85.54	Professional		$41.14	$61.47	$85.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $24.59 / $33.95	Professional	26	$17.32	$24.59	$33.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $27.77 / $51.59	Professional	TC	$23.82	$27.77	$51.59