Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.60 / $25.60 / $25.60	Facility	26	$25.60	$25.60	$25.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $100.19 / $520.00	Professional		$84.55	$100.19	$520.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $30.19 / $102.18	Professional	26	$21.12	$30.19	$102.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $72.20 / $169.58	Professional	TC	$61.79	$72.20	$169.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $115.68 / $206.50	Professional		$83.78	$115.68	$206.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $33.42 / $59.89	Professional	26	$25.18	$33.42	$59.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.39 / $82.55 / $136.72	Professional	TC	$59.39	$82.55	$136.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $99.85	Professional		$32.34	$65.49	$99.85
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $167.29 / $195.28	Professional		$144.75	$167.29	$195.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $46.75 / $52.79	Professional	26	$41.64	$46.75	$52.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $103.11 / $120.54 / $142.47	Professional	TC	$103.11	$120.54	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $97.80 / $161.37	Professional		$86.65	$97.80	$161.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $30.68 / $50.62	Professional	26	$22.75	$30.68	$50.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.40 / $67.61 / $114.10	Professional	TC	$62.40	$67.61	$114.10