Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.42 / $265.44 / $480.28	Facility		$85.42	$265.44	$480.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.64 / $10.64 / $46.77	Facility	26	$10.64	$10.64	$46.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $195.32 / $325.22 / $516.00	Facility	TC	$195.32	$325.22	$516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $33.99 / $137.60	Professional		$8.34	$33.99	$137.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.80 / $10.64 / $40.00	Professional	26	$4.80	$10.64	$40.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $96.35 / $96.35 / $96.35	Professional	50	$96.35	$96.35	$96.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.19 / $26.64 / $60.43	Professional	TC	$22.19	$26.64	$60.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $113.03 / $357.81	Facility		$36.67	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $42.94 / $71.50	Professional		$33.50	$42.94	$71.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $12.80 / $19.79	Professional	26	$10.29	$12.80	$19.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $30.56 / $50.89	Professional	TC	$23.08	$30.56	$50.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $38.81	Professional		$22.10	$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 $53.05 / $61.54 / $68.30	Professional		$53.05	$61.54	$68.30
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.14 / $20.23	Professional	26	$12.89	$16.14	$20.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.15 / $44.61 / $48.46	Professional	TC	$40.15	$44.61	$48.46
United Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $35.01 / $57.77	Professional		$30.96	$35.01	$57.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.61 / $15.60	Professional	26	$8.91	$9.61	$15.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $25.63 / $42.29	Professional	TC	$21.76	$25.63	$42.29