Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.49 / $347.69 / $550.02	Facility		$91.49	$347.69	$550.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $44.16 / $66.33	Facility	26	$9.41	$44.16	$66.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $201.00 / $347.69 / $426.35	Facility	TC	$201.00	$347.69	$426.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $37.75 / $147.49	Professional		$8.82	$37.75	$147.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $14.10 / $42.00	Professional	26	$7.53	$14.10	$42.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.80 / $112.99 / $112.99	Professional	50	$55.80	$112.99	$112.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.45 / $17.60 / $100.66	Professional	52	$15.45	$17.60	$100.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $39.33 / $116.00	Professional	TC	$23.88	$39.33	$116.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $113.03 / $357.81	Facility		$38.02	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $41.58 / $75.44	Professional		$30.95	$41.58	$75.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.43 / $18.27	Professional	26	$8.90	$11.43	$18.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $30.90 / $57.65	Professional	TC	$21.64	$30.90	$57.65
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 $54.53 / $60.59 / $71.66	Professional		$54.53	$60.59	$71.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.53 / $19.67	Professional	26	$12.39	$15.53	$19.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.18 / $44.25 / $52.79	Professional	TC	$41.18	$44.25	$52.79
United Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $35.36 / $58.36	Professional		$31.13	$35.36	$58.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.02 / $15.00	Professional	26	$8.36	$9.02	$15.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $26.35 / $43.80	Professional	TC	$22.97	$26.35	$43.80