Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.47 / $27.47 / $27.47	Facility	26	$27.47	$27.47	$27.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $124.70 / $757.49	Professional		$120.06	$124.70	$757.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.23 / $103.81 / $621.63	Professional	TC	$97.23	$103.81	$621.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $148.69 / $256.72	Professional		$110.98	$148.69	$256.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.25 / $115.82 / $213.87	Professional	TC	$84.25	$115.82	$213.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $99.86 / $138.52	Professional		$67.90	$99.86	$138.52
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 $200.18 / $217.99 / $242.19	Professional		$200.18	$217.99	$242.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $162.59 / $176.98 / $200.65	Professional	TC	$162.59	$176.98	$200.65
United Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $132.09 / $217.95	Professional		$112.19	$132.09	$217.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.31 / $107.55 / $178.80	Professional	TC	$87.31	$107.55	$178.80