Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $215.10 / $259.80	Facility		$113.00	$215.10	$259.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.65 / $8.65 / $45.23	Facility	26	$8.65	$8.65	$45.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $116.64 / $216.12 / $385.09	Facility	TC	$116.64	$216.12	$385.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $31.37 / $140.54	Professional		$13.72	$31.37	$140.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $13.45 / $38.82	Professional	26	$7.03	$13.45	$38.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.42 / $46.40	Professional	TC	$18.20	$22.42	$46.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $113.03 / $357.81	Facility		$28.97	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.10 / $62.13	Professional		$26.92	$36.10	$62.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $10.37 / $17.52	Professional	26	$8.16	$10.37	$17.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $25.18 / $44.60	Professional	TC	$18.76	$25.18	$44.60
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 $43.62 / $51.59 / $58.29	Professional		$43.62	$51.59	$58.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $18.13	Professional	26	$11.90	$14.90	$18.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.73 / $35.25 / $42.21	Professional	TC	$31.73	$35.25	$42.21
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $28.87 / $48.00	Professional		$26.36	$28.87	$48.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.66 / $14.29	Professional	26	$7.36	$8.66	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $20.73 / $33.60	Professional	TC	$18.98	$20.73	$33.60