Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $205.22 / $235.96	Professional		$73.84	$205.22	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $60.54 / $60.54	Professional	26	$22.69	$60.54	$60.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $144.68 / $184.26	Professional	TC	$51.16	$144.68	$184.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $90.46 / $106.42	Professional		$90.46	$90.46	$106.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $26.61 / $31.30	Professional	26	$25.63	$26.61	$31.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.85 / $63.85 / $75.12	Professional	TC	$63.85	$63.85	$75.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $209.22 / $234.58	Professional		$197.15	$209.22	$234.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.83 / $56.04 / $59.24	Professional	26	$52.83	$56.04	$59.24
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $156.38 / $165.87 / $234.58	Professional	TC	$156.38	$165.87	$234.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $228.01	Professional		$32.34	$32.34	$228.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $211.85 / $225.42	Professional		$177.47	$211.85	$225.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $53.82 / $55.87 / $56.79	Professional	26	$53.82	$55.87	$56.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $123.66 / $155.97 / $168.62	Professional	TC	$123.66	$155.97	$168.62
United Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $69.94 / $128.24	Professional		$42.07	$69.94	$128.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $20.35 / $37.21	Professional	26	$14.30	$20.35	$37.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.77 / $49.59 / $90.04	Professional	TC	$27.77	$49.59	$90.04