Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.81 / $59.81 / $59.81	Facility	26	$59.81	$59.81	$59.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $262.57 / $759.00	Professional		$132.19	$262.57	$759.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.39 / $59.81 / $195.07	Professional	26	$48.39	$59.81	$195.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.92 / $199.96 / $285.89	Professional	TC	$88.92	$199.96	$285.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $242.88 / $369.68	Professional		$129.44	$242.88	$369.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.90 / $63.93 / $112.07	Professional	26	$45.90	$63.93	$112.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.51 / $153.37 / $298.06	Professional	TC	$79.51	$153.37	$298.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.78	Professional		$32.57	$93.54	$135.78
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 $202.75 / $236.61 / $295.83	Professional		$202.75	$236.61	$295.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $88.51 / $116.39	Professional	26	$75.84	$88.51	$116.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $126.90 / $148.10 / $184.16	Professional	TC	$126.90	$148.10	$184.16
United Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $193.55 / $351.75	Professional		$125.47	$193.55	$351.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.92 / $50.02 / $93.91	Professional	26	$45.92	$50.02	$93.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $131.63 / $230.26	Professional	TC	$78.23	$131.63	$230.26