Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $461.57 / $646.33	Facility		$96.77	$461.57	$646.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $18.04 / $18.04	Facility	26	$18.04	$18.04	$18.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $96.77 / $479.00	Professional		$89.42	$96.77	$479.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $18.04 / $82.63	Professional	26	$13.62	$18.04	$82.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.31 / $78.94 / $180.28	Professional	TC	$76.31	$78.94	$180.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $310.27 / $982.29	Facility		$116.79	$310.27	$982.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $115.57 / $188.33	Professional		$87.00	$115.57	$188.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $22.01 / $33.03	Professional	26	$16.91	$22.01	$33.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.42 / $93.96 / $159.36	Professional	TC	$68.42	$93.96	$159.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $86.46 / $115.57	Professional		$64.84	$86.46	$115.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $378.22 / $480.81 / $793.82	Facility		$378.22	$480.81	$793.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $162.62 / $181.40	Professional		$152.97	$162.62	$181.40
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.81 / $27.95 / $34.47	Professional	26	$22.81	$27.95	$34.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $124.62 / $132.57 / $152.58	Professional	TC	$124.62	$132.57	$152.58
United Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $98.89 / $163.16	Professional		$85.69	$98.89	$163.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $16.60 / $27.60	Professional	26	$15.77	$16.60	$27.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.48 / $82.29 / $136.72	Professional	TC	$70.48	$82.29	$136.72