Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $258.04 / $325.97	Facility		$83.15	$258.04	$325.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.86 / $10.19 / $50.27	Facility	26	$4.86	$10.19	$50.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $174.18 / $290.41 / $351.25	Facility	TC	$174.18	$290.41	$351.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $33.61 / $115.98	Professional		$25.26	$33.61	$115.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $10.19 / $35.04	Professional	26	$7.84	$10.19	$35.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $21.60 / $74.00	Professional	TC	$16.64	$21.60	$74.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $113.03 / $357.81	Facility		$28.97	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $37.36 / $60.33	Professional		$28.47	$37.36	$60.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $12.85 / $19.29	Professional	26	$10.07	$12.85	$19.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $24.24 / $40.53	Professional	TC	$18.39	$24.24	$40.53
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 $45.11 / $50.30 / $55.79	Professional		$45.11	$50.30	$55.79
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.14 / $19.57	Professional	26	$12.89	$16.14	$19.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $35.79 / $37.49	Professional	TC	$32.22	$35.79	$37.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $29.59 / $48.82	Professional		$26.18	$29.59	$48.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $9.38 / $15.48	Professional	26	$8.83	$9.38	$15.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $20.21 / $33.34	Professional	TC	$17.32	$20.21	$33.34