Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $251.20 / $796.75	Facility		$82.73	$251.20	$796.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $36.89 / $42.91	Facility	26	$10.19	$36.89	$42.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $172.26 / $281.04 / $576.77	Facility	TC	$172.26	$281.04	$576.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $26.11 / $110.00	Professional		$17.87	$26.11	$110.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $11.01 / $39.00	Professional	26	$7.84	$11.01	$39.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $14.73 / $33.39	Professional	TC	$10.55	$14.73	$33.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $158.27 / $357.81	Facility		$23.54	$158.27	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $29.91 / $46.90	Professional		$20.91	$29.91	$46.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $12.85 / $19.29	Professional	26	$10.07	$12.85	$19.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.84 / $17.96 / $31.15	Professional	TC	$10.84	$17.96	$31.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.89 / $38.62	Professional		$22.02	$28.89	$38.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $174.89 / $251.95	Facility		$133.81	$174.89	$251.95
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	TC	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $40.95 / $43.04	Professional		$38.17	$40.95	$43.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $16.14 / $19.57	Professional	26	$12.39	$16.14	$19.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $25.78 / $28.64	Professional	TC	$20.12	$25.78	$28.64
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.98 / $42.87	Professional		$19.05	$25.98	$42.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $9.38 / $15.59	Professional	26	$8.83	$9.38	$15.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.21 / $16.60 / $27.39	Professional	TC	$10.21	$16.60	$27.39