Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.12 / $55.12 / $58.64	Facility	26	$55.12	$55.12	$58.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $76.09 / $111.30	Professional		$51.82	$76.09	$111.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.50 / $43.07 / $60.58	Professional	26	$32.50	$43.07	$60.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $41.15 / $61.73	Professional	TC	$19.32	$41.15	$61.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $95.12 / $118.00	Professional		$52.44	$95.12	$118.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $47.98 / $64.25	Professional	26	$32.69	$47.98	$64.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $41.08 / $58.42	Professional	TC	$19.23	$41.08	$58.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $106.21 / $128.74	Professional		$75.95	$106.21	$128.74
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $49.10 / $59.52	Professional	26	$35.11	$49.10	$59.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.84 / $57.11 / $69.22	Professional	TC	$40.84	$57.11	$69.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.34 / $104.91	Professional		$31.28	$32.34	$104.91
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $72.06 / $72.06 / $72.06	Facility	26	$72.06	$72.06	$72.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $122.37	Professional		$85.00	$100.00	$122.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $45.27 / $64.36	Professional	26	$38.47	$45.27	$64.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.52 / $54.73 / $59.53	Professional	TC	$46.52	$54.73	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $74.98 / $104.91	Professional		$53.64	$74.98	$104.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $44.16 / $60.49	Professional	26	$33.60	$44.16	$60.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $30.31 / $51.10	Professional	TC	$20.14	$30.31	$51.10