Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $317.18 / $634.36	Facility		$76.20	$317.18	$634.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $50.14 / $108.82	Facility	26	$5.13	$50.14	$108.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $190.64 / $368.61 / $782.32	Facility	TC	$190.64	$368.61	$782.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $36.64 / $126.19	Professional		$9.17	$36.64	$126.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.18 / $12.90 / $42.46	Professional	26	$4.18	$12.90	$42.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.27 / $62.52 / $115.00	Professional	50	$19.27	$62.52	$115.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $34.40 / $96.30	Professional	TC	$21.34	$34.40	$96.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $113.03 / $357.81	Facility		$34.86	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $39.72 / $69.98	Professional		$29.59	$39.72	$69.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $12.85 / $19.72	Professional	26	$9.63	$12.85	$19.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $28.34 / $50.34	Professional	TC	$19.12	$28.34	$50.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.52	Professional		$22.02	$28.95	$38.52
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 $52.05 / $57.83 / $66.95	Professional		$52.05	$57.83	$66.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $16.77 / $21.15	Professional	26	$13.38	$16.77	$21.15
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.88 / $40.58 / $45.28	Professional	TC	$35.88	$40.58	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $33.56 / $55.37	Professional		$29.71	$33.56	$55.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.19 / $16.29	Professional	26	$9.11	$10.19	$16.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.07 / $23.82 / $39.29	Professional	TC	$21.07	$23.82	$39.29