Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.61 / $64.61 / $64.61	Facility	26	$64.61	$64.61	$64.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $199.12 / $209.64	Professional		$72.47	$199.12	$209.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.84 / $54.30	Professional	26	$26.30	$43.84	$54.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.17 / $155.27 / $155.34	Professional	TC	$46.17	$155.27	$155.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $84.33 / $99.22	Professional		$84.33	$84.33	$99.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $23.86 / $28.08	Professional	26	$23.14	$23.86	$28.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.47 / $60.47 / $72.50	Professional	TC	$60.47	$60.47	$72.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $187.37 / $198.08	Professional		$176.67	$187.37	$198.08
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.83 / $47.55 / $50.26	Professional	26	$44.83	$47.55	$50.26
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $131.84 / $139.83 / $147.82	Professional	TC	$131.84	$139.83	$147.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.25 / $192.43	Professional		$32.34	$51.25	$192.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $200.24 / $200.24	Professional		$117.36	$200.24	$200.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $48.08 / $48.89 / $49.18	Professional	26	$48.08	$48.89	$49.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $69.27 / $151.06 / $151.06	Professional	TC	$69.27	$151.06	$151.06
United Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $56.51 / $94.19	Professional		$41.26	$56.51	$94.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $18.19 / $33.52	Professional	26	$16.34	$18.19	$33.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $38.32 / $63.87	Professional	TC	$24.92	$38.32	$63.87