Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $242.51 / $267.56	Professional		$219.67	$242.51	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.08 / $77.42 / $77.42	Professional	26	$55.08	$77.42	$77.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.59 / $165.09 / $203.38	Professional	TC	$164.59	$165.09	$203.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $105.02 / $123.56	Professional		$105.02	$105.02	$123.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $34.03 / $40.03	Professional	26	$32.82	$34.03	$40.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.00 / $71.00 / $83.53	Professional	TC	$71.00	$71.00	$83.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.89 / $238.57 / $267.49	Professional		$229.89	$238.57	$267.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.65 / $69.63 / $73.61	Professional	26	$65.65	$69.63	$73.61
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $172.92 / $183.40 / $193.88	Professional	TC	$172.92	$183.40	$193.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.27 / $260.27	Professional		$32.34	$75.27	$260.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $246.77 / $259.95	Professional		$196.37	$246.77	$259.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.27 / $70.42 / $71.43	Professional	26	$69.27	$70.42	$71.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $127.09 / $176.35 / $188.53	Professional	TC	$127.09	$176.35	$188.53
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $132.74 / $137.36	Professional		$80.33	$132.74	$137.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $34.65 / $43.31	Professional	26	$25.99	$34.65	$43.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $95.98 / $99.56	Professional	TC	$54.34	$95.98	$99.56