Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.87 / $65.87 / $65.87	Facility	26	$65.87	$65.87	$65.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $267.19 / $837.90	Professional		$133.44	$267.19	$837.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $68.47 / $223.00	Professional	26	$51.30	$68.47	$223.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.51 / $201.31 / $509.77	Professional	TC	$87.51	$201.31	$509.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $246.48 / $370.10	Professional		$133.09	$246.48	$370.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.11 / $69.78 / $122.33	Professional	26	$50.11	$69.78	$122.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.56 / $151.57 / $291.70	Professional	TC	$78.56	$151.57	$291.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $67.28 / $135.78	Professional		$32.57	$67.28	$135.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $242.97 / $303.66	Professional		$208.21	$242.97	$303.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $82.78 / $96.61 / $127.02	Professional	26	$82.78	$96.61	$127.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $125.42 / $146.36 / $180.08	Professional	TC	$125.42	$146.36	$180.08
United Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $210.83 / $361.21	Professional		$128.84	$210.83	$361.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $57.46 / $103.69	Professional	26	$50.03	$57.46	$103.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.00 / $146.13 / $262.24	Professional	TC	$77.00	$146.13	$262.24