Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $224.54 / $404.57	Facility		$33.81	$224.54	$404.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $10.19 / $10.19	Facility	26	$10.19	$10.19	$10.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $122.54 / $227.05 / $504.74	Facility	TC	$122.54	$227.05	$504.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $37.00 / $150.00	Professional		$17.12	$37.00	$150.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.38 / $38.09	Professional	26	$7.59	$14.38	$38.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.88 / $52.88 / $52.88	Professional	50	$52.88	$52.88	$52.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.18 / $16.91 / $94.43	Professional	52	$14.18	$16.91	$94.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $25.03 / $59.49	Professional	TC	$21.63	$25.03	$59.49
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 $29.16 / $38.53 / $69.15	Professional		$29.16	$38.53	$69.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $11.44 / $17.52	Professional	26	$8.49	$11.44	$17.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $28.31 / $52.90	Professional	TC	$19.84	$28.31	$52.90
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 $50.56 / $56.18 / $67.55	Professional		$50.56	$56.18	$67.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $19.02	Professional	26	$11.90	$14.90	$19.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $37.89 / $40.61 / $47.82	Professional	TC	$37.89	$40.61	$47.82
United Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $33.20 / $54.78	Professional		$29.43	$33.20	$54.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $9.10 / $14.50	Professional	26	$8.06	$9.10	$14.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $24.54 / $40.72	Professional	TC	$20.51	$24.54	$40.72