Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.64 / $43.64 / $43.64	Facility	26	$43.64	$43.64	$43.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $101.64 / $411.40	Professional		$74.54	$101.64	$411.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.51 / $43.64 / $212.00	Professional	26	$35.51	$43.64	$212.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $58.06 / $119.70	Professional	TC	$35.54	$58.06	$119.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $112.60 / $213.89	Professional		$84.17	$112.60	$213.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.53 / $52.47 / $82.00	Professional	26	$41.53	$52.47	$82.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.04 / $55.46 / $138.29	Professional	TC	$34.04	$55.46	$138.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $37.72 / $98.98	Professional		$24.93	$37.72	$98.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $128.88 / $164.47	Professional		$116.00	$128.88	$164.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $69.55 / $84.18	Professional	26	$55.52	$69.55	$84.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $47.98 / $60.48 / $83.35	Professional	TC	$47.98	$60.48	$83.35
United Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $79.70 / $146.16	Professional		$62.27	$79.70	$146.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.50 / $40.78 / $67.80	Professional	26	$33.50	$40.78	$67.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.61 / $46.20 / $83.10	Professional	TC	$27.61	$46.20	$83.10