Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.86 / $75.00 / $84.13	Facility	26	$74.86	$75.00	$84.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $155.12 / $424.45	Professional		$86.31	$155.12	$424.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $58.26 / $120.81	Professional	26	$43.82	$58.26	$120.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.62 / $314.29 / $598.30	Professional	50	$172.62	$314.29	$598.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $55.58 / $85.15	Professional	TC	$40.17	$55.58	$85.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $160.72 / $193.82	Professional		$116.15	$160.72	$193.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.75 / $74.37 / $89.68	Professional	26	$64.75	$74.37	$89.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.96 / $86.36 / $104.14	Professional	TC	$60.96	$86.36	$104.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $158.50 / $181.14	Professional		$86.04	$158.50	$181.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $81.73 / $95.10	Professional	26	$70.98	$81.73	$95.10
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $78.45 / $83.21 / $95.10	Professional	TC	$78.45	$83.21	$95.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.91 / $147.63	Professional		$32.34	$66.91	$147.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $143.28 / $169.84	Professional		$121.79	$143.28	$169.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $55.82 / $65.67 / $80.17	Professional	26	$55.82	$65.67	$80.17
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $65.97 / $77.61 / $89.67	Professional	TC	$65.97	$77.61	$89.67
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $129.25 / $187.01	Professional		$99.25	$129.25	$187.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.78 / $68.12 / $91.71	Professional	26	$49.78	$68.12	$91.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $64.51 / $97.92	Professional	TC	$43.65	$64.51	$97.92