Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.90 / $76.90 / $79.87	Facility	26	$76.90	$76.90	$79.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $93.98 / $244.87	Professional		$86.29	$93.98	$244.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $24.95 / $64.09	Professional	26	$23.42	$24.95	$64.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $69.06 / $180.79	Professional	TC	$62.86	$69.06	$180.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $109.97 / $226.83	Professional		$45.42	$109.97	$226.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $28.43 / $62.01	Professional	26	$13.34	$28.43	$62.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.08 / $81.54 / $162.57	Professional	TC	$32.08	$81.54	$162.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $219.07 / $250.36	Professional		$206.55	$219.07	$250.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $55.48 / $63.40	Professional	26	$52.31	$55.48	$63.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $154.24 / $163.59 / $186.96	Professional	TC	$154.24	$163.59	$186.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.90 / $225.15	Professional		$32.34	$59.90	$225.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $234.20 / $236.87	Professional		$214.69	$234.20	$236.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $56.74 / $57.38 / $58.40	Professional	26	$56.74	$57.38	$58.40
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $156.29 / $176.82 / $179.26	Professional	TC	$156.29	$176.82	$179.26
United Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $84.23 / $142.46	Professional		$55.55	$84.23	$142.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $21.65 / $42.00	Professional	26	$15.52	$21.65	$42.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $62.58 / $119.03	Professional	TC	$40.03	$62.58	$119.03