Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $39.08 / $51.52	Professional		$27.42	$39.08	$51.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $27.12 / $34.86	Professional	26	$16.12	$27.12	$34.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.71 / $20.18 / $25.76	Professional	52	$13.71	$20.18	$25.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.83 / $5.49 / $29.78	Professional	TC	$3.83	$5.49	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $42.08 / $57.51	Professional		$24.99	$42.08	$57.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $36.36 / $45.54	Professional	26	$21.98	$36.36	$45.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.45 / $5.73 / $7.83	Professional	TC	$3.45	$5.73	$7.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $45.90 / $55.64	Professional		$31.16	$45.90	$55.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.81 / $39.50 / $47.88	Professional	26	$26.81	$39.50	$47.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.34 / $6.40 / $7.76	Professional	TC	$4.34	$6.40	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $35.68 / $46.20	Professional		$5.24	$35.68	$46.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $42.79 / $48.17	Professional		$36.54	$42.79	$48.17
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $31.03 / $36.32 / $41.54	Professional	26	$31.03	$36.32	$41.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $5.53 / $6.47 / $6.80	Professional	TC	$5.53	$6.47	$6.80
United Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $39.22 / $53.58	Professional		$28.62	$39.22	$53.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $26.98 / $41.76	Professional	26	$17.00	$26.98	$41.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $6.61 / $24.08	Professional	TC	$3.60	$6.61	$24.08