Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $243.96 / $521.65	Facility		$100.09	$243.96	$521.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.58 / $10.58 / $44.16	Facility	26	$10.58	$10.58	$44.16
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $187.26 / $364.13 / $901.76	Facility	TC	$187.26	$364.13	$901.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $31.01 / $127.00	Professional		$24.29	$31.01	$127.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $1.76 / $10.58 / $32.76	Professional	26	$1.76	$10.58	$32.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $20.38 / $55.98	Professional	TC	$16.35	$20.38	$55.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $136.50 / $432.14	Facility		$26.71	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $36.10 / $59.92	Professional		$26.32	$36.10	$59.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.93 / $18.27	Professional	26	$8.90	$11.93	$18.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $24.24 / $41.12	Professional	TC	$16.60	$24.24	$41.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.81	Professional		$22.02	$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 $41.64 / $51.54 / $57.80	Professional		$41.64	$51.54	$57.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.53 / $19.76	Professional	26	$12.39	$15.53	$19.76
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $29.25 / $33.90 / $38.86	Professional	TC	$29.25	$33.90	$38.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $28.87 / $47.64	Professional		$25.98	$28.87	$47.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $9.19 / $15.17	Professional	26	$8.34	$9.19	$15.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $19.85 / $32.75	Professional	TC	$17.67	$19.85	$32.75