Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $219.31 / $456.10	Facility		$30.10	$219.31	$456.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $9.02	Facility	26	$9.02	$9.02	$9.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.07 / $258.94 / $478.38	Facility	TC	$21.07	$258.94	$478.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $32.77 / $174.26	Professional		$14.33	$32.77	$174.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $13.80 / $37.28	Professional	26	$7.23	$13.80	$37.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.52 / $47.52 / $47.52	Professional	50	$47.52	$47.52	$47.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.59 / $15.74 / $174.20	Professional	52	$13.59	$15.74	$174.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $23.28 / $68.20	Professional	TC	$19.38	$23.28	$68.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $136.50 / $432.14	Facility		$31.69	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $35.89 / $65.20	Professional		$26.59	$35.89	$65.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $10.81 / $17.52	Professional	26	$8.49	$10.81	$17.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $25.48 / $45.75	Professional	TC	$18.04	$25.48	$45.75
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 $169.70 / $225.21 / $387.37	Facility		$169.70	$225.21	$387.37
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $52.33 / $59.14	Professional		$47.10	$52.33	$59.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $18.02	Professional	26	$11.90	$14.90	$18.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $36.85 / $41.52	Professional	TC	$32.61	$36.85	$41.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $30.68 / $50.62	Professional		$26.88	$30.68	$50.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.66 / $14.29	Professional	26	$7.76	$8.66	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $22.02 / $36.33	Professional	TC	$19.70	$22.02	$36.33