Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $446.55 / $446.55	Professional		$446.55	$446.55	$446.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $242.43 / $242.43 / $242.43	Professional	26	$242.43	$242.43	$242.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.12 / $204.12 / $204.12	Professional	TC	$204.12	$204.12	$204.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $190.94 / $224.63	Professional		$190.94	$190.94	$224.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.71 / $106.69 / $125.52	Professional	26	$102.71	$106.69	$125.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.25 / $84.25 / $99.12	Professional	TC	$84.25	$84.25	$99.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.87 / $384.63 / $423.67	Professional		$377.87	$384.63	$423.67
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $188.40 / $199.82 / $211.23	Professional	26	$188.40	$199.82	$211.23
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $189.47 / $200.95 / $212.44	Professional	TC	$189.47	$200.95	$212.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $201.90 / $420.05	Professional		$32.34	$201.90	$420.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $358.39 / $403.91 / $413.36	Professional		$358.39	$403.91	$413.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $206.10 / $207.85 / $207.86	Professional	26	$206.10	$207.85	$207.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $152.29 / $194.97 / $205.51	Professional	TC	$152.29	$194.97	$205.51
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $163.58 / $243.65	Professional		$144.22	$163.58	$243.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.18 / $80.34 / $143.97	Professional	26	$76.18	$80.34	$143.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $87.40 / $109.09	Professional	TC	$63.88	$87.40	$109.09