Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.04 / $17.05 / $23.56	Facility	26	$15.04	$17.05	$23.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $64.06 / $121.86	Professional		$43.78	$64.06	$121.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $15.76 / $40.11	Professional	26	$11.11	$15.76	$40.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $48.90 / $55.27	Professional	TC	$30.41	$48.90	$55.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $69.80 / $101.44	Professional		$49.13	$69.80	$101.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $16.94 / $23.56	Professional	26	$11.24	$16.94	$23.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $52.26 / $77.88	Professional	TC	$37.54	$52.26	$77.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $66.23 / $92.79	Professional		$42.39	$66.23	$92.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $16.98 / $22.26	Professional	26	$11.45	$16.98	$22.26
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.21 / $49.25 / $58.00	Professional	TC	$33.21	$49.25	$58.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $32.34 / $60.78	Professional		$16.30	$32.34	$60.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $58.21 / $92.88	Professional		$49.48	$58.21	$92.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $14.93 / $19.98	Professional	26	$12.69	$14.93	$19.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $43.28 / $72.90	Professional	TC	$36.79	$43.28	$72.90
United Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $80.55 / $107.40	Professional		$54.53	$80.55	$107.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $17.77 / $23.63	Professional	26	$13.33	$17.77	$23.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.55 / $63.89 / $85.19	Professional	TC	$46.55	$63.89	$85.19