Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $150.07 / $492.35	Facility		$40.40	$150.07	$492.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.52 / $13.52 / $13.52	Facility	26	$13.52	$13.52	$13.52
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.88 / $380.41 / $942.29	Facility	TC	$26.88	$380.41	$942.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $40.40 / $199.00	Professional		$31.25	$40.40	$199.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $13.52 / $48.39	Professional	26	$8.24	$13.52	$48.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $26.88 / $53.24	Professional	TC	$22.87	$26.88	$53.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $136.50 / $432.14	Facility		$37.11	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $47.36 / $74.13	Professional		$35.52	$47.36	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $14.57 / $22.61	Professional	26	$10.29	$14.57	$22.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $30.93 / $51.69	Professional	TC	$22.72	$30.93	$51.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $39.23	Professional		$22.10	$28.95	$39.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $225.21 / $387.37	Facility		$169.70	$225.21	$387.37
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $66.45 / $74.13	Professional		$53.54	$66.45	$74.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.14 / $26.94	Professional	26	$12.89	$16.14	$26.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $45.16 / $52.12	Professional	TC	$40.65	$45.16	$52.12
United Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $36.15 / $61.35	Professional		$34.29	$36.15	$61.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $11.31 / $17.80	Professional	26	$10.38	$11.31	$17.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $25.62 / $42.59	Professional	TC	$23.69	$25.62	$42.59