Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.65 / $229.43 / $256.89	Facility	26	$46.65	$229.43	$256.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $212.42 / $665.77	Professional		$102.57	$212.42	$665.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $43.85 / $116.31	Professional	26	$7.94	$43.85	$116.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.54 / $165.77 / $425.25	Professional	TC	$72.54	$165.77	$425.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $195.88 / $296.83	Professional		$103.14	$195.88	$296.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $49.73 / $87.18	Professional	26	$35.97	$49.73	$87.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.29 / $124.01 / $240.80	Professional	TC	$64.29	$124.01	$240.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $67.28 / $102.43	Professional		$32.57	$67.28	$102.43
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 Professional Modifier Low / Median / High Price $161.60 / $188.59 / $241.93	Professional		$161.60	$188.59	$241.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $59.00 / $68.84 / $90.87	Professional	26	$59.00	$68.84	$90.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $102.62 / $119.75 / $155.05	Professional	TC	$102.62	$119.75	$155.05
United Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $167.24 / $279.50	Professional		$99.70	$167.24	$279.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.81 / $41.14 / $72.59	Professional	26	$35.81	$41.14	$72.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $106.25 / $175.43	Professional	TC	$62.58	$106.25	$175.43