Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.14 / $48.14 / $48.14	Facility	26	$48.14	$48.14	$48.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $52.89 / $62.93	Professional		$25.96	$52.89	$62.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.44 / $40.46 / $48.14	Professional	26	$19.44	$40.46	$48.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.51 / $12.43 / $16.38	Professional	TC	$6.51	$12.43	$16.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.24 / $27.35	Professional		$23.12	$23.24	$27.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $17.78 / $20.92	Professional	26	$17.32	$17.78	$20.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.46 / $5.46 / $6.43	Professional	TC	$5.46	$5.46	$6.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $48.59 / $53.26	Professional		$47.50	$48.59	$53.26
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $35.67 / $37.70	Professional	26	$33.63	$35.67	$37.70
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $13.88 / $14.72 / $15.56	Professional	TC	$13.88	$14.72	$15.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $32.34 / $53.14	Professional		$14.90	$32.34	$53.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $50.63 / $51.52	Professional		$48.59	$50.63	$51.52
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $35.85 / $36.89 / $37.21	Professional	26	$35.85	$36.89	$37.21
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $12.60 / $13.97 / $14.64	Professional	TC	$12.60	$13.97	$14.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.19 / $30.32	Professional		$16.54	$18.19	$30.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $13.86 / $27.34	Professional	26	$12.46	$13.86	$27.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.08 / $4.33 / $8.90	Professional	TC	$4.08	$4.33	$8.90