Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Professional		$124.64	$124.64	$124.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.30 / $48.30 / $48.30	Professional	26	$48.30	$48.30	$48.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.34 / $76.34 / $76.34	Professional	TC	$76.34	$76.34	$76.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $56.60 / $66.59	Professional		$55.98	$56.60	$66.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $21.49 / $25.28	Professional	26	$20.38	$21.49	$25.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $35.11 / $41.31	Professional	TC	$35.11	$35.11	$41.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $111.51 / $117.88	Professional		$105.14	$111.51	$117.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $41.32 / $43.68	Professional	26	$38.96	$41.32	$43.68
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $66.18 / $70.19 / $111.51	Professional	TC	$66.18	$70.19	$111.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.18 / $115.91	Professional		$32.34	$45.18	$115.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $118.86 / $127.67	Professional		$111.99	$118.86	$127.67
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.44 / $42.74 / $45.80	Professional	26	$42.44	$42.74	$45.80
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $69.55 / $76.11 / $81.87	Professional	TC	$69.55	$76.11	$81.87
United Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $45.04 / $88.81	Professional		$34.51	$45.04	$88.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $16.67 / $27.79	Professional	26	$12.05	$16.67	$27.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $28.37 / $63.61	Professional	TC	$22.46	$28.37	$63.61