Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $169.16 / $411.74	Facility		$30.83	$169.16	$411.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $9.02	Facility	26	$9.02	$9.02	$9.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $129.78 / $214.25 / $262.64	Facility	TC	$129.78	$214.25	$262.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $30.83 / $170.00	Professional		$8.77	$30.83	$170.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $13.07 / $36.97	Professional	26	$7.03	$13.07	$36.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.70 / $48.70 / $48.70	Professional	50	$48.70	$48.70	$48.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.48 / $15.42 / $91.32	Professional	52	$13.48	$15.42	$91.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.98 / $47.95	Professional	TC	$18.53	$22.98	$47.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $113.03 / $357.81	Facility		$33.04	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $36.82 / $66.56	Professional		$26.95	$36.82	$66.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $10.81 / $16.82	Professional	26	$8.49	$10.81	$16.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $26.36 / $50.19	Professional	TC	$18.39	$26.36	$50.19
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 $48.09 / $53.43 / $61.34	Professional		$48.09	$53.43	$61.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $14.28 / $18.02	Professional	26	$11.40	$14.28	$18.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.56 / $38.53 / $43.76	Professional	TC	$34.56	$38.53	$43.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $32.11 / $53.00	Professional		$28.09	$32.11	$53.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.66 / $14.29	Professional	26	$7.76	$8.66	$14.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.46 / $38.71	Professional	TC	$20.39	$23.46	$38.71