Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $324.39 / $607.60	Facility		$80.20	$324.39	$607.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $20.21 / $92.32	Facility	26	$11.32	$20.21	$92.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $88.60 / $334.50 / $428.89	Facility	TC	$88.60	$334.50	$428.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $44.71 / $170.40	Professional		$9.17	$44.71	$170.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $16.62 / $45.92	Professional	26	$8.13	$16.62	$45.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.27 / $89.57 / $249.00	Professional	50	$19.27	$89.57	$249.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.13 / $20.01 / $113.15	Professional	52	$17.13	$20.01	$113.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $35.31 / $130.00	Professional	TC	$24.44	$35.31	$130.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $113.03 / $357.81	Facility		$43.00	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $46.51 / $84.30	Professional		$34.27	$46.51	$84.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $12.85 / $19.72	Professional	26	$9.63	$12.85	$19.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $34.35 / $65.11	Professional	TC	$23.80	$34.35	$65.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $39.23	Professional		$22.02	$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 $60.98 / $67.75 / $80.11	Professional		$60.98	$67.75	$80.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $16.77 / $21.15	Professional	26	$13.38	$16.77	$21.15
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.13 / $49.99 / $58.81	Professional	TC	$45.13	$49.99	$58.81
United Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $39.70 / $65.51	Professional		$35.61	$39.70	$65.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $10.19 / $16.29	Professional	26	$9.10	$10.19	$16.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $29.96 / $49.43	Professional	TC	$25.08	$29.96	$49.43