Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.77 / $46.80 / $52.17	Facility	26	$45.77	$46.80	$52.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $68.55 / $109.25	Professional		$59.67	$68.55	$109.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $33.35 / $63.82	Professional	26	$26.64	$33.35	$63.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.58 / $36.33 / $58.74	Professional	TC	$32.58	$36.33	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $91.50 / $119.12	Professional		$61.24	$91.50	$119.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $42.39 / $56.06	Professional	26	$28.51	$42.39	$56.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.70 / $48.22 / $61.78	Professional	TC	$31.70	$48.22	$61.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $101.41 / $122.92	Professional		$72.52	$101.41	$122.92
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $45.85 / $58.18	Professional	26	$34.06	$45.85	$58.18
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $58.18 / $70.52	Professional	TC	$40.60	$58.18	$70.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.26 / $99.77	Professional		$32.34	$44.26	$99.77
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 $79.93 / $94.03 / $99.63	Professional		$79.93	$94.03	$99.63
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $34.26 / $40.29 / $46.28	Professional	26	$34.26	$40.29	$46.28
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.67 / $53.35 / $53.73	Professional	TC	$45.67	$53.35	$53.73
United Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $80.95 / $108.55	Professional		$63.46	$80.95	$108.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.56 / $38.64 / $52.65	Professional	26	$28.56	$38.64	$52.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.68 / $42.75 / $57.00	Professional	TC	$32.68	$42.75	$57.00