Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $212.99 / $481.36	Facility		$88.60	$212.99	$481.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $9.77	Facility	26	$9.77	$9.77	$9.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.16 / $296.42 / $392.47	Facility	TC	$22.16	$296.42	$392.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $32.42 / $123.00	Professional		$8.52	$32.42	$123.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.64 / $9.77 / $36.97	Professional	26	$3.64	$9.77	$36.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $23.48 / $47.74	Professional	TC	$20.22	$23.48	$47.74
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 $28.84 / $37.59 / $67.70	Professional		$28.84	$37.59	$67.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.81 / $16.82	Professional	26	$8.82	$11.81	$16.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $27.54 / $49.51	Professional	TC	$19.12	$27.54	$49.51
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 $47.59 / $52.88 / $62.16	Professional		$47.59	$52.88	$62.16
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $14.28 / $19.67	Professional	26	$11.40	$14.28	$19.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.02 / $38.01 / $43.76	Professional	TC	$34.02	$38.01	$43.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.76 / $52.40	Professional		$28.76	$31.76	$52.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $8.66 / $14.72	Professional	26	$8.34	$8.66	$14.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $23.10 / $38.15	Professional	TC	$20.73	$23.10	$38.15