Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $66.04 / $219.60	Facility		$51.02	$66.04	$219.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.99 / $14.99 / $14.99	Facility	26	$14.99	$14.99	$14.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $59.79 / $66.04	Professional		$54.47	$59.79	$66.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $12.60 / $14.99	Professional	26	$5.68	$12.60	$14.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.89 / $50.00 / $53.33	Professional	TC	$42.89	$50.00	$53.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $24.13 / $28.39	Professional		$24.13	$24.13	$28.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.44 / $5.54 / $6.52	Professional	26	$5.44	$5.54	$6.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $18.59 / $21.87	Professional	TC	$18.59	$18.59	$21.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $55.50 / $78.91	Facility		$45.50	$55.50	$78.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $52.32 / $59.85	Professional		$42.70	$52.32	$59.85
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $11.32 / $11.97	Professional	26	$10.68	$11.32	$11.97
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $45.29 / $47.88	Professional	TC	$42.70	$45.29	$47.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.47	Professional		$32.34	$32.34	$57.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $57.04 / $58.55	Professional		$50.38	$57.04	$58.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $11.71 / $12.02	Professional	26	$11.17	$11.71	$12.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $38.36 / $45.40 / $46.84	Professional	TC	$38.36	$45.40	$46.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $31.40 / $43.96	Professional		$18.84	$31.40	$43.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.88 / $4.33 / $9.02	Professional	26	$3.88	$4.33	$9.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $29.61 / $29.61	Professional	TC	$14.51	$29.61	$29.61