Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $312.95 / $510.16	Facility		$73.53	$312.95	$510.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $47.47 / $94.94	Facility	26	$9.41	$47.47	$94.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $201.92 / $358.56 / $782.12	Facility	TC	$201.92	$358.56	$782.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $38.43 / $131.96	Professional		$7.94	$38.43	$131.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $13.82 / $39.00	Professional	26	$6.98	$13.82	$39.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.60 / $113.29 / $307.37	Professional	50	$54.60	$113.29	$307.37
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.46 / $17.23 / $94.40	Professional	52	$14.46	$17.23	$94.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $37.54 / $108.00	Professional	TC	$21.33	$37.54	$108.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $113.03 / $357.81	Facility		$35.31	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $39.22 / $72.63	Professional		$30.59	$39.22	$72.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.40 / $17.57	Professional	26	$8.82	$11.40	$17.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $29.42 / $53.10	Professional	TC	$21.28	$29.42	$53.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.62	Professional		$22.02	$28.95	$38.62
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 $51.06 / $56.73 / $67.28	Professional		$51.06	$56.73	$67.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $18.07	Professional	26	$11.90	$14.90	$18.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $37.89 / $41.13 / $49.06	Professional	TC	$37.89	$41.13	$49.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $33.20 / $54.78	Professional		$29.83	$33.20	$54.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $8.66 / $14.40	Professional	26	$8.17	$8.66	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $24.54 / $40.49	Professional	TC	$22.09	$24.54	$40.49