Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.35 / $20.35 / $20.35	Facility	26	$20.35	$20.35	$20.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $171.25 / $198.43	Professional		$85.90	$171.25	$198.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $41.38 / $214.02	Professional	26	$16.71	$41.38	$214.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.52 / $129.36 / $175.98	Professional	TC	$44.52	$129.36	$175.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $172.75 / $421.73	Professional		$110.99	$172.75	$421.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $35.06 / $85.81	Professional	26	$19.77	$35.06	$85.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.96 / $97.14 / $397.38	Professional	TC	$56.96	$97.14	$397.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $100.72	Professional		$32.34	$65.98	$100.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $166.25 / $194.97	Professional		$143.26	$166.25	$194.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $67.42 / $76.56	Professional	26	$36.46	$67.42	$76.56
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $75.84 / $95.63 / $153.72	Professional	TC	$75.84	$95.63	$153.72
United Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $159.69 / $218.87	Professional		$102.75	$159.69	$218.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $49.80 / $82.17	Professional	26	$17.89	$49.80	$82.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $78.27 / $193.90	Professional	TC	$59.91	$78.27	$193.90