Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $222.43 / $475.41	Facility		$22.51	$222.43	$475.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.99 / $12.99 / $12.99	Facility	26	$12.99	$12.99	$12.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.94 / $288.93 / $814.78	Facility	TC	$28.94	$288.93	$814.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $42.13 / $168.02	Professional		$35.95	$42.13	$168.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $12.99 / $44.91	Professional	26	$9.65	$12.99	$44.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $29.67 / $59.86	Professional	TC	$25.57	$29.67	$59.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $136.50 / $432.14	Facility		$41.65	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $51.80 / $84.56	Professional		$40.85	$51.80	$84.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $15.63 / $24.38	Professional	26	$12.67	$15.63	$24.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.11 / $36.36 / $58.83	Professional	TC	$28.11	$36.36	$58.83
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 $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 $61.47 / $71.73 / $82.41	Professional		$61.47	$71.73	$82.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $19.87 / $24.70	Professional	26	$15.87	$19.87	$24.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.60 / $51.76 / $57.43	Professional	TC	$45.60	$51.76	$57.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $40.42 / $66.69	Professional		$37.71	$40.42	$66.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $11.55 / $19.20	Professional	26	$10.97	$11.55	$19.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $28.87 / $57.60	Professional	TC	$26.50	$28.87	$57.60