Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.36 / $29.36 / $29.36	Facility	26	$29.36	$29.36	$29.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $113.71 / $504.00	Professional		$84.57	$113.71	$504.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $27.68 / $127.00	Professional	26	$17.37	$27.68	$127.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $74.64 / $207.40	Professional	TC	$59.92	$74.64	$207.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $150.19 / $226.33	Professional		$88.51	$150.19	$226.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $35.63 / $54.92	Professional	26	$26.89	$35.63	$54.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.42 / $117.27 / $179.13	Professional	TC	$59.42	$117.27	$179.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.34 / $133.49	Professional		$32.34	$92.34	$133.49
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 $185.40 / $206.00 / $256.97	Professional		$185.40	$206.00	$256.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $37.18 / $47.20 / $57.14	Professional	26	$37.18	$47.20	$57.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $139.96 / $164.69 / $199.84	Professional	TC	$139.96	$164.69	$199.84
United Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $131.37 / $216.76	Professional		$92.08	$131.37	$216.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.50 / $27.07 / $45.01	Professional	26	$25.50	$27.07	$45.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.56 / $104.30 / $172.09	Professional	TC	$65.56	$104.30	$172.09