Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.00 / $37.00 / $41.37	Facility	26	$37.00	$37.00	$41.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $37.10 / $59.50	Professional		$32.95	$37.10	$59.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $26.88 / $41.16	Professional	26	$21.55	$26.88	$41.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.21 / $19.79 / $22.70	Professional	52	$16.21	$19.79	$22.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $12.70 / $19.89	Professional	TC	$11.26	$12.70	$19.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $49.08 / $64.08	Professional		$33.86	$49.08	$64.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.61 / $33.53 / $44.34	Professional	26	$22.61	$33.53	$44.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.56 / $15.41 / $19.91	Professional	TC	$11.56	$15.41	$19.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $55.33 / $66.64	Professional		$39.32	$55.33	$66.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $36.79 / $42.06	Professional	26	$24.82	$36.79	$42.06
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $21.51 / $24.58	Professional	TC	$14.50	$21.51	$24.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $32.34 / $54.69	Professional		$19.29	$32.34	$54.69
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $217.18 / $217.18 / $217.18	Facility	26	$217.18	$217.18	$217.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $50.75 / $55.33	Professional		$43.14	$50.75	$55.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $27.49 / $32.34 / $37.02	Professional	26	$27.49	$32.34	$37.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $18.30 / $18.41	Professional	TC	$15.65	$18.30	$18.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $45.61 / $64.61	Professional		$34.92	$45.61	$64.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $30.55 / $41.52	Professional	26	$23.40	$30.55	$41.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.40 / $14.70 / $20.17	Professional	TC	$11.40	$14.70	$20.17