Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.89 / $45.89 / $45.89	Facility	26	$45.89	$45.89	$45.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $149.65 / $222.97	Professional		$92.16	$149.65	$222.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.32 / $103.76 / $139.25	Professional	TC	$59.32	$103.76	$139.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $159.31 / $232.04	Professional		$113.00	$159.31	$232.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.70 / $98.87 / $165.22	Professional	TC	$64.70	$98.87	$165.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $66.69 / $98.49	Professional		$32.35	$66.69	$98.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,301.63 / $1,301.63 / $1,301.63	Facility	26	$1,301.63	$1,301.63	$1,301.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $180.11 / $248.56	Professional		$162.10	$180.11	$248.56
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $97.91 / $108.82 / $163.18	Professional	TC	$97.91	$108.82	$163.18
United Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $130.62 / $208.80	Professional		$98.60	$130.62	$208.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.53 / $88.80 / $128.09	Professional	TC	$60.53	$88.80	$128.09