Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.45 / $64.45 / $64.45	Facility	26	$64.45	$64.45	$64.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $216.22 / $258.80	Professional		$112.85	$216.22	$258.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $64.45 / $245.27	Professional	26	$49.65	$64.45	$245.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.62 / $163.68 / $196.75	Professional	TC	$52.62	$163.68	$196.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $232.05 / $561.22	Professional		$145.72	$232.05	$561.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.60 / $79.31 / $141.94	Professional	26	$63.60	$79.31	$141.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.39 / $122.09 / $411.14	Professional	TC	$66.39	$122.09	$411.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $67.49 / $110.30	Professional		$32.57	$67.49	$110.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,208.22 / $5,208.22 / $5,208.22	Facility	26	$5,208.22	$5,208.22	$5,208.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $237.22 / $297.38	Professional		$187.88	$237.22	$297.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $98.65 / $115.12 / $128.06	Professional	26	$98.65	$115.12	$128.06
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $89.23 / $113.02 / $182.13	Professional	TC	$89.23	$113.02	$182.13
United Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $172.03 / $310.69	Professional		$139.25	$172.03	$310.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.16 / $71.81 / $118.51	Professional	26	$56.16	$71.81	$118.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $91.49 / $217.99	Professional	TC	$69.65	$91.49	$217.99