Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.77 / $53.77 / $53.77	Facility	26	$53.77	$53.77	$53.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $174.94 / $267.29	Professional		$117.32	$174.94	$267.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $53.77 / $236.00	Professional	26	$43.56	$53.77	$236.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.76 / $121.17 / $170.84	Professional	TC	$73.76	$121.17	$170.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $201.71 / $296.12	Professional		$127.03	$201.71	$296.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.63 / $56.06 / $98.38	Professional	26	$40.63	$56.06	$98.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.23 / $149.02 / $209.11	Professional	TC	$83.23	$149.02	$209.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.53 / $134.27	Professional		$32.57	$93.53	$134.27
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $232.56 / $295.89	Professional		$199.28	$232.56	$295.89
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $66.43 / $77.52 / $104.49	Professional	26	$66.43	$77.52	$104.49
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $132.85 / $155.04 / $195.65	Professional	TC	$132.85	$155.04	$195.65
United Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $161.72 / $293.02	Professional		$124.85	$161.72	$293.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $42.70 / $82.60	Professional	26	$40.50	$42.70	$82.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.82 / $113.42 / $194.40	Professional	TC	$82.82	$113.42	$194.40