Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.47 / $175.07 / $175.07	Facility	26	$154.47	$175.07	$175.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $200.52 / $489.25	Professional		$175.99	$200.52	$489.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $113.03 / $265.49	Professional	26	$96.29	$113.03	$265.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.34 / $88.59 / $121.40	Professional	TC	$77.34	$88.59	$121.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.98 / $298.50 / $359.96	Professional		$244.98	$298.50	$359.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.96 / $173.92 / $209.73	Professional	26	$141.96	$173.92	$209.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.50 / $124.58 / $150.22	Professional	TC	$108.50	$124.58	$150.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $302.18 / $335.76	Professional		$277.00	$302.18	$335.76
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $164.92 / $174.91 / $199.90	Professional	26	$164.92	$174.91	$199.90
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $112.08 / $118.88 / $135.86	Professional	TC	$112.08	$118.88	$135.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.68 / $275.14	Professional		$32.34	$107.68	$275.14
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 $222.01 / $261.19 / $307.24	Professional		$222.01	$261.19	$307.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $130.66 / $153.72 / $185.51	Professional	26	$130.66	$153.72	$185.51
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $91.34 / $107.46 / $121.72	Professional	TC	$91.34	$107.46	$121.72
United Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $270.50 / $369.00	Professional		$195.61	$270.50	$369.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $147.85 / $208.00	Professional	26	$111.16	$147.85	$208.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.96 / $115.64 / $159.12	Professional	TC	$84.96	$115.64	$159.12