Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.77 / $38.77 / $38.77	Facility	26	$38.77	$38.77	$38.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $88.38 / $359.00	Professional		$74.70	$88.38	$359.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $38.77 / $104.80	Professional	26	$29.88	$38.77	$104.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.57 / $50.85 / $102.20	Professional	TC	$43.57	$50.85	$102.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $108.14 / $170.94	Professional		$86.21	$108.14	$170.94
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 $47.86 / $61.82 / $97.73	Professional	TC	$47.86	$61.82	$97.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $38.81 / $100.37	Professional		$24.84	$38.81	$100.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $141.96 / $166.72	Professional		$122.45	$141.96	$166.72
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 $73.86 / $84.85 / $93.59	Professional	TC	$73.86	$84.85	$93.59
United Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $83.73 / $139.19	Professional		$75.36	$83.73	$139.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.64 / $36.50 / $58.95	Professional	26	$33.64	$36.50	$58.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.19 / $48.00 / $79.80	Professional	TC	$45.19	$48.00	$79.80