Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $157.83 / $196.63	Professional		$130.25	$157.83	$196.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $47.27 / $67.64	Professional	26	$42.92	$47.27	$67.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.85 / $107.15 / $128.37	Professional	TC	$83.85	$107.15	$128.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $206.85 / $246.54	Professional		$154.44	$206.85	$246.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.57 / $74.48 / $88.78	Professional	26	$58.57	$74.48	$88.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.09 / $132.36 / $157.76	Professional	TC	$100.09	$132.36	$157.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $199.82 / $228.36	Professional		$188.40	$199.82	$228.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.91 / $75.02 / $84.74	Professional	26	$69.91	$75.02	$84.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $84.74 / $118.49 / $143.62	Professional	TC	$84.74	$118.49	$143.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.02 / $184.85	Professional		$32.34	$71.02	$184.85
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 $154.78 / $182.09 / $213.52	Professional		$154.78	$182.09	$213.52
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $65.17 / $79.31	Professional	26	$55.39	$65.17	$79.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $99.37 / $116.91 / $134.21	Professional	TC	$99.37	$116.91	$134.21
United Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $182.01 / $288.27	Professional		$138.32	$182.01	$288.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.24 / $66.33 / $98.30	Professional	26	$48.24	$66.33	$98.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.54 / $137.47 / $205.84	Professional	TC	$88.54	$137.47	$205.84