Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.77 / $44.58 / $57.07	Facility	26	$38.77	$44.58	$57.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $116.00 / $437.00	Professional		$99.28	$116.00	$437.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $38.77 / $78.41	Professional	26	$26.76	$38.77	$78.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $77.23 / $158.44	Professional	TC	$68.67	$77.23	$158.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $142.63 / $226.56	Professional		$112.88	$142.63	$226.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.35 / $47.06 / $69.87	Professional	26	$38.35	$47.06	$69.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.53 / $96.32 / $152.16	Professional	TC	$74.53	$96.32	$152.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $67.28 / $99.85	Professional		$32.57	$67.28	$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 $163.09 / $189.47 / $218.84	Professional		$163.09	$189.47	$218.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $58.39 / $73.11	Professional	26	$48.58	$58.39	$73.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $114.51 / $132.07 / $145.72	Professional	TC	$114.51	$132.07	$145.72
United Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $110.43 / $182.21	Professional		$103.97	$110.43	$182.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.64 / $35.72 / $59.40	Professional	26	$33.64	$35.72	$59.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.33 / $74.70 / $124.19	Professional	TC	$70.33	$74.70	$124.19