Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.92 / $22.92 / $22.92	Facility	26	$22.92	$22.92	$22.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $197.94	Professional		$73.73	$86.40	$197.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.09 / $22.92 / $44.60	Professional	26	$18.09	$22.92	$44.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $65.59 / $155.13	Professional	TC	$55.57	$65.59	$155.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $112.39 / $179.09	Professional		$83.34	$112.39	$179.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.48 / $27.59 / $42.01	Professional	26	$22.48	$27.59	$42.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.86 / $83.04 / $141.97	Professional	TC	$60.86	$83.04	$141.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $68.77 / $100.92	Professional		$47.30	$68.77	$100.92
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 Professional Modifier Low / Median / High Price $146.74 / $162.59 / $174.37	Professional		$146.74	$162.59	$174.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $37.26 / $43.58	Professional	26	$29.25	$37.26	$43.58
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $111.94 / $118.99 / $131.34	Professional	TC	$111.94	$118.99	$131.34
United Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $94.55 / $156.01	Professional		$77.27	$94.55	$156.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $21.83 / $35.13	Professional	26	$19.71	$21.83	$35.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.50 / $73.26 / $124.54	Professional	TC	$57.50	$73.26	$124.54