Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.99 / $14.73 / $16.54	Facility	26	$12.99	$14.73	$16.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $63.62 / $100.45	Professional		$52.75	$63.62	$100.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $11.68 / $22.03	Professional	26	$7.53	$11.68	$22.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.38 / $30.41 / $41.38	Professional	52	$26.38	$30.41	$41.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $50.39 / $82.01	Professional	TC	$45.29	$50.39	$82.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $83.89 / $109.54	Professional		$56.42	$83.89	$109.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $13.51 / $17.64	Professional	26	$9.03	$13.51	$17.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.56 / $70.37 / $91.89	Professional	TC	$47.56	$70.37	$91.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $93.75 / $108.68	Professional		$60.86	$93.75	$108.68
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $14.72 / $16.82	Professional	26	$9.92	$14.72	$16.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $54.20 / $80.38 / $91.86	Professional	TC	$54.20	$80.38	$91.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $32.34 / $86.84	Professional		$14.11	$32.34	$86.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $84.58 / $90.39	Professional		$71.89	$84.58	$90.39
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $12.94 / $14.74	Professional	26	$11.00	$12.94	$14.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $60.89 / $71.64 / $75.65	Professional	TC	$60.89	$71.64	$75.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $77.72 / $101.56	Professional		$56.59	$77.72	$101.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $12.11 / $15.34	Professional	26	$8.84	$12.11	$15.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.94 / $61.44 / $84.96	Professional	TC	$47.94	$61.44	$84.96