Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $218.07 / $416.56	Facility		$51.10	$218.07	$416.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $61.27 / $66.48	Facility	26	$13.21	$61.27	$66.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $195.76 / $355.97 / $411.16	Facility	TC	$195.76	$355.97	$411.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $45.00 / $167.00	Professional		$36.39	$45.00	$167.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $14.41 / $44.00	Professional	26	$9.61	$14.41	$44.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $33.17 / $67.22	Professional	TC	$25.37	$33.17	$67.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $136.50 / $432.14	Facility		$39.38	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $47.59 / $84.73	Professional		$38.74	$47.59	$84.73
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 $26.32 / $33.01 / $61.33	Professional	TC	$26.32	$33.01	$61.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $39.23	Professional		$22.10	$28.95	$39.23
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 $59.49 / $66.58 / $77.45	Professional		$59.49	$66.58	$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 $43.17 / $45.88 / $52.05	Professional	TC	$43.17	$45.88	$52.05
United Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $38.61 / $66.78	Professional		$35.96	$38.61	$66.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $11.57 / $19.21	Professional	26	$10.54	$11.57	$19.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.49 / $27.07 / $45.00	Professional	TC	$25.49	$27.07	$45.00