Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $70.94 / $102.25	Professional		$52.98	$70.94	$102.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $48.75 / $70.05	Professional	26	$31.89	$48.75	$70.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $38.32 / $46.12	Professional	TC	$21.60	$38.32	$46.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $88.42 / $112.51	Professional		$57.82	$88.42	$112.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.14 / $53.32 / $68.63	Professional	26	$34.14	$53.32	$68.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.40 / $35.10 / $43.88	Professional	TC	$23.40	$35.10	$43.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $101.94 / $123.56	Professional		$69.19	$101.94	$123.56
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $58.18 / $70.52	Professional	26	$39.49	$58.18	$70.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $43.76 / $53.04	Professional	TC	$29.70	$43.76	$53.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.58 / $101.26	Professional		$32.34	$52.58	$101.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.57 / $103.66	Professional		$85.01	$85.57	$103.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $48.83 / $61.46	Professional	26	$48.83	$48.83	$61.46
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.57 / $36.74 / $42.20	Professional	TC	$35.57	$36.74	$42.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.44 / $100.24	Professional		$53.70	$75.44	$100.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.88 / $65.28	Professional	26	$30.90	$46.88	$65.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.90 / $31.67 / $41.75	Professional	TC	$20.90	$31.67	$41.75