Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $282.02 / $805.42	Facility		$82.73	$282.02	$805.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.62 / $12.62 / $66.48	Facility	26	$12.62	$12.62	$66.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $77.08 / $725.60 / $879.60	Facility	TC	$77.08	$725.60	$879.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $44.90 / $165.89	Professional		$10.75	$44.90	$165.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $12.62 / $43.12	Professional	26	$8.65	$12.62	$43.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.56 / $39.07 / $132.80	Professional	TC	$27.56	$39.07	$132.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $113.03 / $357.81	Facility		$50.25	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $54.54 / $87.49	Professional		$42.65	$54.54	$87.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $15.19 / $24.38	Professional	26	$12.37	$15.19	$24.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.27 / $41.25 / $66.84	Professional	TC	$30.27	$41.25	$66.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $39.23	Professional		$22.10	$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 $70.88 / $78.76 / $86.94	Professional		$70.88	$78.76	$86.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $19.87 / $24.00	Professional	26	$15.87	$19.87	$24.00
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $59.23 / $63.55	Professional	TC	$55.03	$59.23	$63.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $45.83 / $75.62	Professional		$39.44	$45.83	$75.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $11.55 / $19.20	Professional	26	$10.87	$11.55	$19.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.54 / $34.28 / $56.56	Professional	TC	$28.54	$34.28	$56.56