Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $253.97 / $350.89	Facility		$37.10	$253.97	$350.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.40 / $12.40 / $66.48	Facility	26	$3.40	$12.40	$66.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $212.55 / $313.39 / $430.13	Facility	TC	$212.55	$313.39	$430.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $37.10 / $159.11	Professional		$30.73	$37.10	$159.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $14.87 / $48.25	Professional	26	$9.26	$14.87	$48.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $25.68 / $46.04	Professional	TC	$19.94	$25.68	$46.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $136.50 / $432.14	Facility		$31.69	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $43.95 / $69.98	Professional		$33.29	$43.95	$69.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $14.74 / $22.08	Professional	26	$11.07	$14.74	$22.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $30.05 / $48.78	Professional	TC	$21.28	$30.05	$48.78
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 $169.70 / $225.21 / $387.37	Facility		$169.70	$225.21	$387.37
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 Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $59.96 / $66.59	Professional		$49.08	$59.96	$66.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.37 / $18.01 / $24.88	Professional	26	$14.37	$18.01	$24.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $38.56 / $46.23	Professional	TC	$34.70	$38.56	$46.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $34.39 / $54.60	Professional		$32.11	$34.39	$54.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.02 / $17.98	Professional	26	$10.23	$11.02	$17.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $23.10 / $38.77	Professional	TC	$20.97	$23.10	$38.77