Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.27 / $78.27 / $78.27	Facility	26	$78.27	$78.27	$78.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $99.20 / $118.04	Professional		$48.60	$99.20	$118.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $65.78 / $78.27	Professional	26	$27.17	$65.78	$78.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.43 / $33.42 / $41.18	Professional	TC	$21.43	$33.42	$41.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $43.86 / $51.60	Professional		$43.75	$43.86	$51.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $29.17 / $34.32	Professional	26	$28.12	$29.17	$34.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.69 / $14.69 / $17.28	Professional	TC	$14.69	$14.69	$17.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $91.45 / $101.14	Professional		$90.21	$91.45	$101.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.98 / $58.31 / $61.64	Professional	26	$54.98	$58.31	$61.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.22 / $35.22 / $39.50	Professional	TC	$35.22	$35.22	$39.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.52 / $100.23	Professional		$32.34	$37.52	$100.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $96.03 / $97.78	Professional		$91.45	$96.03	$97.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $58.80 / $59.72 / $60.69	Professional	26	$58.80	$59.72	$60.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $36.08 / $38.06	Professional	TC	$32.65	$36.08	$38.06
United Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $34.21 / $68.70	Professional		$31.66	$34.21	$68.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $22.52 / $44.67	Professional	26	$20.22	$22.52	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.44 / $11.69 / $20.90	Professional	TC	$11.44	$11.69	$20.90