Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.42 / $345.99 / $704.15	Facility		$85.42	$345.99	$704.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $21.88 / $45.91	Facility	26	$9.41	$21.88	$45.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $190.64 / $358.32 / $696.34	Facility	TC	$190.64	$358.32	$696.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $38.42 / $135.78	Professional		$8.92	$38.42	$135.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $14.93 / $38.56	Professional	26	$7.56	$14.93	$38.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.20 / $88.50 / $114.57	Professional	50	$55.20	$88.50	$114.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $39.64 / $132.00	Professional	TC	$24.51	$39.64	$132.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $113.03 / $357.81	Facility		$39.38	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $41.72 / $76.79	Professional		$30.95	$41.72	$76.79
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 $21.64 / $30.47 / $56.77	Professional	TC	$21.64	$30.47	$56.77
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 $55.52 / $61.13 / $70.17	Professional		$55.52	$61.13	$70.17
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.53 / $18.77	Professional	26	$12.39	$15.53	$18.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.08 / $44.86 / $52.05	Professional	TC	$40.08	$44.86	$52.05
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $35.36 / $58.36	Professional		$31.22	$35.36	$58.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.02 / $15.00	Professional	26	$8.36	$9.02	$15.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $26.35 / $43.71	Professional	TC	$22.42	$26.35	$43.71