Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $236.46 / $399.39	Facility		$31.94	$236.46	$399.39
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $9.41 / $9.41	Facility	26	$9.41	$9.41	$9.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $190.64 / $352.32 / $438.16	Facility	TC	$190.64	$352.32	$438.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $36.21 / $159.00	Professional		$27.23	$36.21	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.06 / $34.85	Professional	26	$7.33	$11.06	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $25.99 / $50.25	Professional	TC	$20.22	$25.99	$50.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $113.03 / $357.81	Facility		$33.04	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $37.81 / $68.72	Professional		$28.79	$37.81	$68.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.43 / $18.27	Professional	26	$8.90	$11.43	$18.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $27.54 / $49.42	Professional	TC	$19.48	$27.54	$49.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.62	Professional		$22.02	$28.95	$38.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $174.89 / $251.95	Facility		$133.81	$174.89	$251.95
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	TC	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $53.98 / $62.16	Professional		$48.58	$53.98	$62.16
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.53 / $18.77	Professional	26	$12.39	$15.53	$18.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.24 / $38.01 / $43.76	Professional	TC	$35.24	$38.01	$43.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $31.76 / $52.40	Professional		$28.38	$31.76	$52.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $9.02 / $18.00	Professional	26	$8.41	$9.02	$18.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $22.74 / $37.52	Professional	TC	$20.51	$22.74	$37.52