Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $216.17 / $216.17	Professional		$216.17	$216.17	$216.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.14 / $82.14 / $82.14	Professional	26	$82.14	$82.14	$82.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.03 / $134.03 / $134.03	Professional	TC	$134.03	$134.03	$134.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $95.79 / $112.70	Professional		$95.79	$95.79	$112.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $36.10 / $42.47	Professional	26	$34.76	$36.10	$42.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.69 / $59.69 / $70.22	Professional	TC	$59.69	$59.69	$70.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $196.42	Professional		$185.20	$185.20	$196.42
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $70.75 / $74.80	Professional	26	$66.70	$70.75	$74.80
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $118.49 / $125.67 / $132.85	Professional	TC	$118.49	$125.67	$132.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.83 / $203.68	Professional		$32.34	$76.83	$203.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $209.61 / $235.87	Professional		$192.38	$209.61	$235.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $73.20 / $73.77 / $79.01	Professional	26	$73.20	$73.77	$79.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $119.18 / $135.84 / $156.86	Professional	TC	$119.18	$135.84	$156.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $90.88 / $129.19	Professional		$77.52	$90.88	$129.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $33.49 / $46.56	Professional	26	$27.94	$33.49	$46.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $57.39 / $105.47	Professional	TC	$49.58	$57.39	$105.47