Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.54 / $41.54 / $41.54	Facility	26	$41.54	$41.54	$41.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $115.85 / $482.00	Professional		$87.09	$115.85	$482.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $41.54 / $119.27	Professional	26	$31.12	$41.54	$119.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.27 / $661.50 / $749.61	Professional	50	$119.27	$661.50	$749.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.85 / $74.31 / $136.61	Professional	TC	$59.85	$74.31	$136.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $141.19 / $208.47	Professional		$113.09	$141.19	$208.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.58 / $49.31 / $73.16	Professional	26	$37.58	$49.31	$73.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.37 / $92.50 / $135.32	Professional	TC	$72.37	$92.50	$135.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $98.49	Professional		$32.34	$65.49	$98.49
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 $152.69 / $188.23 / $220.59	Professional		$152.69	$188.23	$220.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $51.06 / $65.52 / $79.09	Professional	26	$51.06	$65.52	$79.09
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $101.62 / $120.73 / $141.49	Professional	TC	$101.62	$120.73	$141.49
United Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $108.99 / $175.81	Professional		$102.68	$108.99	$175.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $37.24 / $59.96	Professional	26	$35.68	$37.24	$59.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.23 / $72.01 / $115.85	Professional	TC	$68.23	$72.01	$115.85