Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $280.08 / $566.47	Facility		$113.99	$280.08	$566.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $48.36	Facility	26	$9.02	$9.02	$48.36
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $170.17 / $297.24 / $669.96	Facility	TC	$170.17	$297.24	$669.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $31.18 / $116.06	Professional		$10.75	$31.18	$116.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $12.73 / $38.82	Professional	26	$7.25	$12.73	$38.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $30.23 / $62.25	Professional	TC	$18.48	$30.23	$62.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $113.03 / $357.81	Facility		$29.42	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $34.93 / $62.13	Professional		$26.95	$34.93	$62.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $10.81 / $16.82	Professional	26	$8.17	$10.81	$16.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $24.52 / $45.30	Professional	TC	$18.39	$24.52	$45.30
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 / $48.85 / $58.29	Professional		$43.62	$48.85	$58.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $14.28 / $18.02	Professional	26	$11.40	$14.28	$18.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.91 / $33.93 / $41.13	Professional	TC	$31.91	$33.93	$41.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $29.23 / $48.23	Professional		$26.36	$29.23	$48.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $8.66 / $14.29	Professional	26	$7.71	$8.66	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.71 / $20.57 / $33.94	Professional	TC	$18.71	$20.57	$33.94