Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.19 / $24.19 / $24.19	Facility	26	$24.19	$24.19	$24.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $43.34 / $115.76	Professional		$37.31	$43.34	$115.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $17.05 / $40.42	Professional	26	$13.69	$17.05	$40.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $26.79 / $43.20	Professional	TC	$24.36	$26.79	$43.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $55.87 / $72.95	Professional		$38.27	$55.87	$72.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $21.73 / $28.75	Professional	26	$14.62	$21.73	$28.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.93 / $33.43 / $44.21	Professional	TC	$23.93	$33.43	$44.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $62.45 / $75.70	Professional		$45.42	$62.45	$75.70
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $22.62 / $27.18	Professional	26	$16.04	$22.62	$27.18
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $40.03 / $48.52	Professional	TC	$27.17	$40.03	$48.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $32.34 / $61.25	Professional		$22.94	$32.34	$61.25
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 / $61.95	Professional		$49.48	$58.21	$61.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $20.90 / $24.00	Professional	26	$17.77	$20.90	$24.00
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.71 / $37.31 / $38.34	Professional	TC	$31.71	$37.31	$38.34
United Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $52.90 / $72.44	Professional		$41.40	$52.90	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $20.17 / $27.30	Professional	26	$15.38	$20.17	$27.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.84 / $33.11 / $45.34	Professional	TC	$25.84	$33.11	$45.34