Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.41 / $190.64 / $394.82	Facility		$84.41	$190.64	$394.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $66.48 / $69.06	Facility	26	$12.15	$66.48	$69.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.42 / $302.67 / $394.82	Facility	TC	$85.42	$302.67	$394.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $37.60 / $137.00	Professional		$28.08	$37.60	$137.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $13.86 / $44.00	Professional	26	$7.02	$13.86	$44.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $23.28 / $50.25	Professional	TC	$17.92	$23.28	$50.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $158.27 / $357.81	Facility		$31.69	$158.27	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $41.79 / $67.34	Professional		$31.85	$41.79	$67.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $15.33 / $22.96	Professional	26	$12.01	$15.33	$22.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $26.41 / $43.72	Professional	TC	$19.84	$26.41	$43.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $28.95 / $39.23	Professional		$22.17	$28.95	$39.23
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 $50.07 / $55.89 / $62.37	Professional		$50.07	$55.89	$62.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $19.25 / $23.31	Professional	26	$15.36	$19.25	$23.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $38.56 / $40.40	Professional	TC	$34.70	$38.56	$40.40
United Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $33.20 / $54.78	Professional		$29.25	$33.20	$54.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $11.19 / $18.46	Professional	26	$10.53	$11.19	$18.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $23.17 / $36.32	Professional	TC	$18.72	$23.17	$36.32