Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $239.53 / $438.66	Facility		$42.62	$239.53	$438.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $57.00 / $66.48	Facility	26	$13.21	$57.00	$66.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $174.22 / $359.94 / $405.74	Facility	TC	$174.22	$359.94	$405.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $44.50 / $169.00	Professional		$35.10	$44.50	$169.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $15.81 / $38.40	Professional	26	$9.65	$15.81	$38.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $31.97 / $77.62	Professional	TC	$25.05	$31.97	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $113.03 / $357.81	Facility		$39.38	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $45.49 / $84.03	Professional		$36.94	$45.49	$84.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $15.24 / $23.40	Professional	26	$11.44	$15.24	$23.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $32.82 / $60.63	Professional	TC	$24.52	$32.82	$60.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $38.81	Professional		$22.10	$28.95	$38.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $174.89 / $252.32	Facility		$133.81	$174.89	$252.32
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 $59.00 / $65.55 / $77.45	Professional		$59.00	$65.55	$77.45
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $19.87 / $24.88	Professional	26	$15.87	$19.87	$24.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $45.30 / $52.05	Professional	TC	$40.54	$45.30	$52.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $38.61 / $64.20	Professional		$34.76	$38.61	$64.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $11.80 / $19.53	Professional	26	$10.40	$11.80	$19.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $27.07 / $45.00	Professional	TC	$24.62	$27.07	$45.00