Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $115.60 / $152.00	Professional		$94.38	$115.60	$152.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.84 / $83.24 / $108.67	Professional	26	$70.84	$83.24	$108.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $32.81 / $45.65	Professional	TC	$19.69	$32.81	$45.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $155.80 / $186.95	Professional		$91.32	$155.80	$186.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $112.89 / $142.63	Professional	26	$70.62	$112.89	$142.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $41.49 / $51.49	Professional	TC	$20.07	$41.49	$51.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $167.59 / $203.14	Professional		$113.76	$167.59	$203.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.24 / $121.16 / $146.86	Professional	26	$82.24	$121.16	$146.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.52 / $46.43 / $56.28	Professional	TC	$31.52	$46.43	$56.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.55 / $168.44	Professional		$32.34	$49.55	$168.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $159.19 / $180.20	Professional		$136.00	$159.19	$180.20
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $96.48 / $112.93 / $130.04	Professional	26	$96.48	$112.93	$130.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.53 / $46.27 / $50.16	Professional	TC	$39.53	$46.27	$50.16
United Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $126.42 / $176.32	Professional		$88.20	$126.42	$176.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.80 / $103.06 / $131.08	Professional	26	$67.80	$103.06	$131.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $29.56 / $46.02	Professional	TC	$18.85	$29.56	$46.02