Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.52 / $180.22 / $241.17	Facility		$100.52	$180.22	$241.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.33 / $204.38 / $204.38	Facility	26	$57.33	$204.38	$204.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $83.51 / $173.71	Professional		$47.66	$83.51	$173.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $57.33 / $185.65	Professional	26	$30.09	$57.33	$185.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.23 / $94.51 / $179.00	Professional	50	$82.23	$94.51	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $36.89 / $64.75	Professional	TC	$15.02	$36.89	$64.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $136.50 / $432.14	Facility		$23.99	$136.50	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $92.18 / $167.34	Professional		$57.61	$92.18	$167.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.47 / $53.99 / $83.00	Professional	26	$35.47	$53.99	$83.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.21 / $37.63 / $74.13	Professional	TC	$21.21	$37.63	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $38.52 / $66.66	Professional		$24.96	$38.52	$66.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $225.21 / $368.28	Facility		$169.70	$225.21	$368.28
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 $71.39 / $98.64 / $193.09	Professional		$71.39	$98.64	$193.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.61 / $61.65 / $114.83	Professional	26	$44.61	$61.65	$114.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $26.77 / $36.99 / $78.91	Professional	TC	$26.77	$36.99	$78.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $72.69 / $120.07	Professional		$53.77	$72.69	$120.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.51 / $35.96 / $55.17	Professional	26	$30.51	$35.96	$55.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $22.80 / $42.53	Professional	TC	$19.48	$22.80	$42.53