Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $354.60 / $734.40	Facility		$187.56	$354.60	$734.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.20 / $62.20 / $62.20	Facility	26	$62.20	$62.20	$62.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $125.35 / $357.82 / $715.63	Facility	TC	$125.35	$357.82	$715.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $157.62 / $187.56	Professional		$68.15	$157.62	$187.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.01 / $52.27 / $229.99	Professional	26	$20.01	$52.27	$229.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.13 / $105.34 / $130.47	Professional	TC	$48.13	$105.34	$130.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $71.88 / $84.56	Professional		$71.44	$71.88	$84.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $23.24 / $27.34	Professional	26	$22.31	$23.24	$27.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.64 / $48.64 / $57.22	Professional	TC	$48.64	$48.64	$57.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $126.56 / $173.38	Facility		$125.67	$126.56	$173.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $154.24 / $172.94	Professional		$139.72	$154.24	$172.94
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.76 / $43.76 / $49.06	Professional	26	$43.76	$43.76	$49.06
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $117.18 / $123.88	Professional	TC	$110.48	$117.18	$123.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.94 / $168.48	Professional		$32.34	$49.94	$168.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $150.57 / $159.26	Professional		$139.72	$150.57	$159.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $47.43 / $47.52	Professional	26	$46.83	$47.43	$47.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $92.91 / $103.05 / $111.83	Professional	TC	$92.91	$103.05	$111.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $56.51 / $115.79	Professional		$38.60	$56.51	$115.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $17.75 / $32.71	Professional	26	$12.46	$17.75	$32.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $38.76 / $73.79	Professional	TC	$26.14	$38.76	$73.79