Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $197.97 / $306.86	Facility		$48.36	$197.97	$306.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.58 / $44.68 / $83.12	Facility	26	$10.58	$44.68	$83.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $153.03 / $251.89 / $565.46	Facility	TC	$153.03	$251.89	$565.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $34.50 / $139.00	Professional		$8.00	$34.50	$139.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $12.29 / $39.38	Professional	26	$6.73	$12.29	$39.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.24 / $120.00 / $208.50	Professional	50	$52.24	$120.00	$208.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.32 / $16.73 / $96.53	Professional	52	$14.32	$16.73	$96.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $31.86 / $105.00	Professional	TC	$21.91	$31.86	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $113.03 / $357.81	Facility		$35.31	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $70.64	Professional		$28.84	$38.90	$70.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.93 / $17.76	Professional	26	$8.82	$11.93	$17.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $28.08 / $53.58	Professional	TC	$19.12	$28.08	$53.58
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 $51.06 / $56.73 / $66.15	Professional		$51.06	$56.73	$66.15
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $20.36	Professional	26	$11.90	$14.90	$20.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.81 / $41.13 / $46.01	Professional	TC	$36.81	$41.13	$46.01
United Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $33.92 / $55.97	Professional		$29.83	$33.92	$55.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $9.52 / $14.40	Professional	26	$8.41	$9.52	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $25.26 / $41.68	Professional	TC	$21.41	$25.26	$41.68