Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $284.13 / $463.28	Facility		$75.05	$284.13	$463.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $39.42 / $66.33	Facility	26	$9.77	$39.42	$66.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.42 / $360.02 / $599.78	Facility	TC	$85.42	$360.02	$599.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $43.12 / $175.00	Professional		$11.54	$43.12	$175.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $15.50 / $40.00	Professional	26	$7.91	$15.50	$40.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.85 / $89.47 / $299.48	Professional	50	$17.85	$89.47	$299.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $45.41 / $132.00	Professional	TC	$28.04	$45.41	$132.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $113.03 / $357.81	Facility		$44.81	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $47.24 / $82.24	Professional		$34.19	$47.24	$82.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.68 / $18.27	Professional	26	$8.90	$11.68	$18.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $35.64 / $67.15	Professional	TC	$24.88	$35.64	$67.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $39.23	Professional		$22.02	$28.95	$39.23
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 $61.47 / $68.30 / $80.43	Professional		$61.47	$68.30	$80.43
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 $48.47 / $51.54 / $60.88	Professional	TC	$48.47	$51.54	$60.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $39.34 / $64.91	Professional		$35.40	$39.34	$64.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $9.02 / $15.13	Professional	26	$8.41	$9.02	$15.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $30.32 / $50.40	Professional	TC	$26.92	$30.32	$50.40