Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.10 / $274.11 / $408.22	Facility		$139.10	$274.11	$408.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $9.41 / $44.56	Facility	26	$9.41	$9.41	$44.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $183.29 / $301.37 / $574.34	Facility	TC	$183.29	$301.37	$574.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $31.82 / $114.31	Professional		$11.20	$31.82	$114.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $11.20 / $36.96	Professional	26	$6.94	$11.20	$36.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.42 / $70.42 / $94.79	Professional	50	$70.42	$70.42	$94.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $25.28 / $98.02	Professional	TC	$17.59	$25.28	$98.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $113.03 / $357.81	Facility		$32.59	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $36.27 / $65.20	Professional		$26.99	$36.27	$65.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.40 / $16.82	Professional	26	$8.82	$11.40	$16.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $25.48 / $48.83	Professional	TC	$17.68	$25.48	$48.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.52	Professional		$22.02	$28.95	$38.52
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 $47.10 / $52.33 / $59.24	Professional		$47.10	$52.33	$59.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $14.28 / $18.77	Professional	26	$11.40	$14.28	$18.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $36.70 / $40.76	Professional	TC	$33.54	$36.70	$40.76
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $31.04 / $51.60	Professional		$27.86	$31.04	$51.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $8.64 / $14.05	Professional	26	$8.30	$8.64	$14.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.34 / $22.74 / $37.52	Professional	TC	$19.34	$22.74	$37.52