Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $127.81 / $148.96	Professional		$53.16	$127.81	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $39.49 / $47.63	Professional	26	$22.12	$39.49	$47.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.02 / $80.18 / $109.46	Professional	TC	$31.02	$80.18	$109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $55.13 / $64.86	Professional		$55.13	$55.13	$64.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.37 / $20.94 / $24.63	Professional	26	$20.37	$20.94	$24.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.20 / $34.20 / $40.22	Professional	TC	$34.20	$34.20	$40.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $133.44 / $149.61	Professional		$121.29	$133.44	$149.61
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.03 / $42.46 / $44.88	Professional	26	$40.03	$42.46	$44.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $44.88 / $93.41 / $104.73	Professional	TC	$44.88	$93.41	$104.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.24	Professional		$32.34	$32.34	$145.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $130.37 / $139.93	Professional		$117.94	$130.37	$139.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.73 / $43.33 / $43.51	Professional	26	$42.73	$43.33	$43.51
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $74.43 / $86.72 / $96.61	Professional	TC	$74.43	$86.72	$96.61
United Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $43.52 / $86.47	Professional		$33.49	$43.52	$86.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $16.23 / $27.07	Professional	26	$14.50	$16.23	$27.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $27.28 / $54.57	Professional	TC	$18.98	$27.28	$54.57