Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $174.74 / $174.74	Professional		$99.80	$174.74	$174.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.84 / $39.52 / $39.52	Professional	26	$22.84	$39.52	$39.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.97 / $135.22 / $135.22	Professional	TC	$76.97	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $77.06 / $90.66	Professional		$77.06	$77.06	$90.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $17.63 / $20.74	Professional	26	$16.78	$17.63	$20.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.43 / $59.43 / $69.92	Professional	TC	$59.43	$59.43	$69.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $145.47 / $153.79	Professional		$137.16	$145.47	$153.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $32.83 / $34.71	Professional	26	$30.95	$32.83	$34.71
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $106.21 / $112.65 / $119.08	Professional	TC	$106.21	$112.65	$119.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.41	Professional		$32.34	$32.34	$113.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $155.74 / $155.74	Professional		$138.54	$155.74	$155.74
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $34.54 / $37.79	Professional	26	$34.45	$34.54	$37.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $100.76 / $121.20 / $121.20	Professional	TC	$100.76	$121.20	$121.20
United Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $59.11 / $98.52	Professional		$47.99	$59.11	$98.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $13.86 / $32.34	Professional	26	$13.07	$13.86	$32.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.92 / $45.25 / $75.42	Professional	TC	$34.92	$45.25	$75.42