Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.61 / $19.96 / $22.28	Facility	26	$17.61	$19.96	$22.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $59.23 / $99.97	Professional		$52.63	$59.23	$99.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $16.78 / $33.21	Professional	26	$11.24	$16.78	$33.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.92 / $29.62 / $37.65	Professional	52	$25.92	$29.62	$37.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.39 / $46.03 / $76.92	Professional	TC	$41.39	$46.03	$76.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $78.86 / $101.04	Professional		$54.14	$78.86	$101.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $18.07 / $23.91	Professional	26	$12.18	$18.07	$23.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.20 / $60.20 / $77.13	Professional	TC	$42.20	$60.20	$77.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $93.62 / $109.98	Professional		$61.59	$93.62	$109.98
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $19.80 / $22.64	Professional	26	$13.36	$19.80	$22.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.53 / $76.42 / $87.34	Professional	TC	$51.53	$76.42	$87.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $32.34 / $87.97	Professional		$19.09	$32.34	$87.97
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 $71.04 / $83.58 / $86.85	Professional		$71.04	$83.58	$86.85
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.41 / $19.97	Professional	26	$14.80	$17.41	$19.97
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $56.24 / $66.17 / $66.88	Professional	TC	$56.24	$66.17	$66.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $72.48 / $99.54	Professional		$56.62	$72.48	$99.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $16.55 / $22.67	Professional	26	$12.96	$16.55	$22.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $55.49 / $76.87	Professional	TC	$42.70	$55.49	$76.87