Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $327.63 / $559.11	Facility		$88.60	$327.63	$559.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $44.16 / $51.38	Facility	26	$9.41	$44.16	$51.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $88.95 / $328.22 / $445.80	Facility	TC	$88.95	$328.22	$445.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $36.15 / $140.02	Professional		$9.41	$36.15	$140.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $13.61 / $38.00	Professional	26	$7.53	$13.61	$38.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	50	$90.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.29 / $80.20	Professional	TC	$22.39	$29.29	$80.20
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 $33.83 / $42.66 / $69.84	Professional		$33.83	$42.66	$69.84
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 $24.52 / $30.09 / $51.57	Professional	TC	$24.52	$30.09	$51.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.81	Professional		$22.02	$28.95	$38.81
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 $49.08 / $59.63 / $66.27	Professional		$49.08	$59.63	$66.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.53 / $19.67	Professional	26	$12.39	$15.53	$19.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.68 / $41.18 / $48.24	Professional	TC	$36.68	$41.18	$48.24
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $34.32 / $57.31	Professional		$31.40	$34.32	$57.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $9.02 / $14.88	Professional	26	$8.41	$9.02	$14.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $25.39 / $43.26	Professional	TC	$22.38	$25.39	$43.26