Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $218.29 / $309.23	Facility		$82.73	$218.29	$309.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.67 / $8.67 / $8.67	Facility	26	$8.67	$8.67	$8.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $88.60 / $218.41 / $260.01	Facility	TC	$88.60	$218.41	$260.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $34.00 / $159.65	Professional		$14.03	$34.00	$159.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $12.73 / $35.76	Professional	26	$6.65	$12.73	$35.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.81 / $76.58 / $76.58	Professional	50	$75.81	$76.58	$76.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.28 / $14.87 / $159.60	Professional	52	$12.28	$14.87	$159.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $21.31 / $44.67	Professional	TC	$17.89	$21.31	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $113.03 / $357.81	Facility		$28.52	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $34.93 / $60.73	Professional		$26.23	$34.93	$60.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.37 / $16.13	Professional	26	$8.09	$10.37	$16.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $23.96 / $43.66	Professional	TC	$17.68	$23.96	$43.66
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 $42.63 / $48.85 / $56.28	Professional		$42.63	$48.85	$56.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $13.66 / $16.62	Professional	26	$10.91	$13.66	$16.62
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.73 / $35.25 / $41.13	Professional	TC	$31.73	$35.25	$41.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.15 / $46.45	Professional		$25.77	$28.15	$46.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.94 / $13.20	Professional	26	$7.49	$7.94	$13.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $20.21 / $33.60	Professional	TC	$18.30	$20.21	$33.60