Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $38.39	Facility	26	$38.39	$38.39	$38.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $123.53 / $646.00	Professional		$101.04	$123.53	$646.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.71 / $38.54 / $167.00	Professional	26	$30.71	$38.54	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $83.09 / $174.32	Professional	TC	$71.14	$83.09	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $146.22 / $256.12	Professional		$106.73	$146.22	$256.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $46.39 / $79.23	Professional	26	$37.59	$46.39	$79.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.14 / $99.85 / $174.49	Professional	TC	$69.14	$99.85	$174.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $132.83	Professional		$32.34	$65.49	$132.83
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 $182.42 / $213.73 / $245.23	Professional		$182.42	$213.73	$245.23
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $56.02 / $66.33 / $75.70	Professional	26	$56.02	$66.33	$75.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $126.41 / $145.02 / $167.66	Professional	TC	$126.41	$145.02	$167.66
United Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $122.34 / $207.98	Professional		$110.11	$122.34	$207.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $41.50 / $68.48	Professional	26	$34.04	$41.50	$68.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.76 / $80.84 / $134.40	Professional	TC	$72.76	$80.84	$134.40