Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.24 / $34.24 / $34.24	Facility	26	$34.24	$34.24	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $115.15 / $181.62	Professional		$78.81	$115.15	$181.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.78 / $80.91 / $122.71	Professional	TC	$53.78	$80.91	$122.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $133.79 / $184.60	Professional		$94.53	$133.79	$184.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.87 / $93.24 / $126.16	Professional	TC	$58.87	$93.24	$126.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $98.98	Professional		$32.34	$65.49	$98.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $167.05 / $197.87	Professional		$132.85	$167.05	$197.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $92.21 / $111.94 / $132.72	Professional	TC	$92.21	$111.94	$132.72
United Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $107.05 / $188.21	Professional		$93.50	$107.05	$188.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.58 / $83.05 / $134.63	Professional	TC	$63.58	$83.05	$134.63