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 $131.26 / $138.65 / $320.51	Professional		$131.26	$138.65	$320.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $49.77 / $146.91	Professional	26	$34.93	$49.77	$146.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.96 / $99.05 / $216.00	Professional	TC	$91.96	$99.05	$216.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $185.83 / $317.07	Professional		$133.97	$185.83	$317.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $50.07 / $91.33	Professional	26	$37.59	$50.07	$91.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.35 / $136.91 / $218.21	Professional	TC	$106.35	$136.91	$218.21
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 $228.03 / $282.50 / $315.10	Professional		$228.03	$282.50	$315.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $70.03 / $74.44 / $81.59	Professional	26	$70.03	$74.44	$81.59
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $156.15 / $202.23 / $238.94	Professional	TC	$156.15	$202.23	$238.94
United Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $156.63 / $260.39	Professional		$140.97	$156.63	$260.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.31 / $53.05 / $87.53	Professional	26	$34.31	$53.05	$87.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.94 / $119.25 / $189.00	Professional	TC	$99.94	$119.25	$189.00