Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.85 / $96.85 / $96.85	Facility	26	$96.85	$96.85	$96.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $500.04 / $574.65	Professional		$209.50	$500.04	$574.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.17 / $62.16 / $81.39	Professional	26	$41.17	$62.16	$81.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.31 / $437.87 / $493.27	Professional	TC	$168.31	$437.87	$493.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $265.83 / $312.74	Professional		$264.58	$265.83	$312.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $36.03 / $42.39	Professional	26	$34.47	$36.03	$42.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.80 / $229.80 / $270.35	Professional	TC	$229.80	$229.80	$270.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.05 / $462.47 / $488.90	Professional		$436.05	$462.47	$488.90
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.58 / $68.50 / $72.41	Professional	26	$64.58	$68.50	$72.41
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $371.46 / $393.98 / $416.49	Professional	TC	$371.46	$393.98	$416.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $74.41 / $472.47	Professional		$32.34	$74.41	$472.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.30 / $505.29 / $558.76	Professional		$485.30	$505.29	$558.76
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $71.43 / $71.43 / $73.28	Professional	26	$71.43	$71.43	$73.28
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $413.82 / $433.86 / $485.48	Professional	TC	$413.82	$433.86	$485.48
United Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $208.96 / $409.38	Professional		$116.82	$208.96	$409.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.73 / $27.72 / $54.12	Professional	26	$25.73	$27.72	$54.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.09 / $181.24 / $355.26	Professional	TC	$91.09	$181.24	$355.26