Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.77 / $57.77 / $57.77	Facility	26	$57.77	$57.77	$57.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $160.31 / $492.00	Professional		$134.41	$160.31	$492.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.01 / $58.98 / $147.22	Professional	26	$49.01	$58.98	$147.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.30 / $103.98 / $189.37	Professional	TC	$88.30	$103.98	$189.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $189.12 / $300.19	Professional		$133.09	$189.12	$300.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.59 / $66.95 / $111.32	Professional	26	$45.59	$66.95	$111.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.16 / $121.00 / $188.86	Professional	TC	$84.16	$121.00	$188.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.53 / $133.49	Professional		$32.57	$93.53	$133.49
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 Professional Modifier Low / Median / High Price $209.69 / $244.71 / $268.89	Professional		$209.69	$244.71	$268.89
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.34 / $87.49 / $97.38	Professional	26	$75.34	$87.49	$97.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $134.34 / $156.77 / $172.62	Professional	TC	$134.34	$156.77	$172.62
United Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $149.08 / $275.94	Professional		$126.50	$149.08	$275.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.69 / $51.78 / $108.73	Professional	26	$43.69	$51.78	$108.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.89 / $93.21 / $176.07	Professional	TC	$82.89	$93.21	$176.07