Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.23 / $31.23 / $31.23	Facility	26	$31.23	$31.23	$31.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $113.77 / $270.88	Professional		$101.09	$113.77	$270.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $30.03 / $58.85	Professional	26	$24.26	$30.03	$58.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $90.27 / $212.03	Professional	TC	$75.26	$90.27	$212.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $142.54 / $265.12	Professional		$95.02	$142.54	$265.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $37.52 / $61.23	Professional	26	$29.45	$37.52	$61.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.81 / $107.25 / $193.31	Professional	TC	$64.81	$107.25	$193.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.34 / $131.97	Professional		$32.34	$92.34	$131.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $204.51 / $247.59	Professional		$191.84	$204.51	$247.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $52.16 / $61.61	Professional	26	$41.64	$52.16	$61.61
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $140.03 / $152.94 / $195.30	Professional	TC	$140.03	$152.94	$195.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $125.23 / $212.89	Professional		$100.91	$125.23	$212.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $30.32 / $50.03	Professional	26	$26.95	$30.32	$50.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.70 / $94.91 / $157.57	Professional	TC	$72.70	$94.91	$157.57