Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.49 / $37.49 / $37.49	Facility	26	$37.49	$37.49	$37.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $93.64 / $153.08	Professional		$65.88	$93.64	$153.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $37.49 / $82.22	Professional	26	$28.30	$37.49	$82.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.44 / $164.44 / $164.44	Professional	50	$164.44	$164.44	$164.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.58 / $57.70 / $85.66	Professional	TC	$37.58	$57.70	$85.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $115.73 / $184.29	Professional		$84.57	$115.73	$184.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.27 / $46.74 / $69.20	Professional	26	$35.27	$46.74	$69.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.63 / $69.09 / $113.08	Professional	TC	$48.63	$69.09	$113.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $38.52 / $98.98	Professional		$24.96	$38.52	$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 $111.54 / $154.13 / $194.81	Professional		$111.54	$154.13	$194.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.10 / $60.63 / $75.81	Professional	26	$47.10	$60.63	$75.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $64.44 / $89.05 / $118.99	Professional	TC	$64.44	$89.05	$118.99
United Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $101.41 / $167.33	Professional		$83.67	$101.41	$167.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $36.81 / $58.86	Professional	26	$33.18	$36.81	$58.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.49 / $64.59 / $96.90	Professional	TC	$50.49	$64.59	$96.90