Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.80 / $62.80 / $256.89	Facility	26	$62.80	$62.80	$256.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $278.51 / $887.50	Professional		$147.16	$278.51	$887.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $62.80 / $190.08	Professional	26	$37.21	$62.80	$190.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.94 / $134.96 / $402.88	Professional	52	$61.94	$134.96	$402.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.27 / $207.11 / $315.82	Professional	TC	$96.27	$207.11	$315.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $239.69 / $358.80	Professional		$124.26	$239.69	$358.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.15 / $61.61 / $91.78	Professional	26	$39.15	$61.61	$91.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.10 / $164.15 / $284.56	Professional	TC	$85.10	$164.15	$284.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $134.27	Professional		$32.57	$93.54	$134.27
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 $195.32 / $227.93 / $402.10	Professional		$195.32	$227.93	$402.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $59.49 / $69.42 / $117.20	Professional	26	$59.49	$69.42	$117.20
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $135.83 / $158.51 / $284.94	Professional	TC	$135.83	$158.51	$284.94
United Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $212.21 / $337.12	Professional		$120.25	$212.21	$337.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $47.94 / $91.57	Professional	26	$37.43	$47.94	$91.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.82 / $140.81 / $247.13	Professional	TC	$82.82	$140.81	$247.13