Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.80 / $4.80 / $4.80	Facility	26	$4.80	$4.80	$4.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $24.72 / $27.42	Professional		$15.82	$24.72	$27.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $5.03 / $7.60	Professional	26	$3.24	$5.03	$7.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.74 / $19.69 / $22.90	Professional	TC	$12.74	$19.69	$22.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $26.87 / $46.72	Professional		$18.97	$26.87	$46.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.04 / $5.81 / $10.00	Professional	26	$4.04	$5.81	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.86 / $21.06 / $36.72	Professional	TC	$14.86	$21.06	$36.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $24.02 / $31.32	Professional		$18.93	$24.02	$31.32
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.06 / $4.53 / $7.95	Professional	26	$3.06	$4.53	$7.95
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $20.95 / $27.66	Professional	TC	$14.12	$20.95	$27.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $22.89 / $32.34	Professional		$4.11	$22.89	$32.34
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $107.98 / $107.98 / $107.98	Facility	26	$107.98	$107.98	$107.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $22.39 / $37.88	Professional		$19.03	$22.39	$37.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $3.38 / $3.98 / $8.01	Professional	26	$3.38	$3.98	$8.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $18.41 / $29.87	Professional	TC	$15.65	$18.41	$29.87
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $32.77 / $42.85	Professional		$23.94	$32.77	$42.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.66 / $7.02 / $9.28	Professional	26	$4.66	$7.02	$9.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $25.29 / $33.63	Professional	TC	$19.00	$25.29	$33.63