Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.18 / $80.18 / $80.18	Facility	26	$80.18	$80.18	$80.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $271.83 / $271.83	Professional		$100.57	$271.83	$271.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $67.38 / $67.38	Professional	26	$37.22	$67.38	$67.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.34 / $204.46 / $206.54	Professional	TC	$63.34	$204.46	$206.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $130.77	Professional		$111.15	$111.15	$130.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.67 / $29.61 / $34.84	Professional	26	$28.67	$29.61	$34.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.54 / $81.54 / $95.93	Professional	TC	$81.54	$81.54	$95.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $244.66 / $259.11	Professional		$231.10	$244.66	$259.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.51 / $58.87 / $62.23	Professional	26	$55.51	$58.87	$62.23
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $175.59 / $186.24 / $196.88	Professional	TC	$175.59	$186.24	$196.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.57 / $251.43	Professional		$32.34	$63.57	$251.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.29 / $263.47 / $263.47	Professional		$152.29	$263.47	$263.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $60.53 / $60.89	Professional	26	$59.65	$60.53	$60.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $92.17 / $202.58 / $202.58	Professional	TC	$92.17	$202.58	$202.58
United Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $77.09 / $128.47	Professional		$62.08	$77.09	$128.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $24.71 / $45.03	Professional	26	$22.52	$24.71	$45.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.36 / $54.57 / $101.10	Professional	TC	$37.36	$54.57	$101.10