Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.54 / $34.54 / $34.54	Facility	26	$34.54	$34.54	$34.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $63.21 / $92.92	Professional		$39.60	$63.21	$92.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $27.03 / $38.15	Professional	26	$21.35	$27.03	$38.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $32.89 / $61.17	Professional	TC	$18.23	$32.89	$61.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $75.87 / $96.00	Professional		$40.54	$75.87	$96.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $31.33 / $43.15	Professional	26	$21.97	$31.33	$43.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $41.09 / $57.84	Professional	TC	$18.86	$41.09	$57.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $88.61 / $107.40	Professional		$63.37	$88.61	$107.40
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.90 / $32.03 / $38.82	Professional	26	$22.90	$32.03	$38.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.46 / $56.58 / $68.58	Professional	TC	$40.46	$56.58	$68.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $32.34 / $87.06	Professional		$30.99	$32.34	$87.06
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 $71.04 / $83.58 / $98.05	Professional		$71.04	$83.58	$98.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.37 / $29.85 / $42.43	Professional	26	$25.37	$29.85	$42.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.67 / $53.73 / $59.00	Professional	TC	$45.67	$53.73	$59.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $55.07 / $82.00	Professional		$40.32	$55.07	$82.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $29.28 / $39.69	Professional	26	$21.92	$29.28	$39.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $27.44 / $46.61	Professional	TC	$18.62	$27.44	$46.61