Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $149.01 / $167.25	Professional		$98.05	$149.01	$167.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $17.02 / $20.92	Professional	26	$13.81	$17.02	$20.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.24 / $132.91 / $148.33	Professional	TC	$84.24	$132.91	$148.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $160.88 / $193.06	Professional		$102.35	$160.88	$193.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $21.36 / $27.27	Professional	26	$13.44	$21.36	$27.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.16 / $139.52 / $167.42	Professional	TC	$83.16	$139.52	$167.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $211.35 / $256.18	Professional		$143.46	$211.35	$256.18
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.94 / $23.48 / $28.46	Professional	26	$15.94	$23.48	$28.46
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $127.52 / $187.87 / $227.72	Professional	TC	$127.52	$187.87	$227.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $159.81 / $204.30	Professional		$21.14	$159.81	$204.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.15 / $198.01 / $202.24	Professional		$169.15	$198.01	$202.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $21.89 / $24.93	Professional	26	$18.70	$21.89	$24.93
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $150.44 / $176.12 / $177.31	Professional	TC	$150.44	$176.12	$177.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $128.13 / $192.15	Professional		$87.78	$128.13	$192.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.90 / $18.05 / $24.95	Professional	26	$12.90	$18.05	$24.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.48 / $111.60 / $165.91	Professional	TC	$76.48	$111.60	$165.91