Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.89 / $82.89 / $82.89	Facility	26	$82.89	$82.89	$82.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $102.81 / $122.34	Professional		$55.83	$102.81	$122.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $69.66 / $82.89	Professional	26	$32.97	$69.66	$82.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $33.14 / $39.43	Professional	TC	$22.85	$33.14	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $45.18 / $53.16	Professional		$45.18	$45.18	$53.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $30.88 / $36.33	Professional	26	$29.78	$30.88	$36.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $14.31 / $16.82	Professional	TC	$14.31	$14.31	$16.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.03 / $99.94	Professional		$89.13	$93.03	$99.94
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.18 / $61.71 / $65.23	Professional	26	$58.18	$61.71	$65.23
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.95 / $32.83 / $34.71	Professional	TC	$30.95	$32.83	$34.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.21 / $99.61	Professional		$32.34	$33.21	$99.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $97.19 / $97.19	Professional		$90.46	$97.19	$97.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $63.23 / $64.69	Professional	26	$62.24	$63.23	$64.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $25.76 / $33.76 / $33.96	Professional	TC	$25.76	$33.76	$33.96
United Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $36.15 / $74.16	Professional		$34.64	$36.15	$74.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $23.82 / $55.58	Professional	26	$22.06	$23.82	$55.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $14.09 / $25.26	Professional	TC	$10.82	$14.09	$25.26