Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.41 / $530.29 / $652.76	Facility		$84.41	$530.29	$652.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.79 / $188.48 / $204.49	Facility	26	$38.79	$188.48	$204.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $95.76 / $444.00	Professional		$59.17	$95.76	$444.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $62.79 / $151.00	Professional	26	$30.87	$62.79	$151.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.06 / $528.51 / $641.46	Professional	50	$111.06	$528.51	$641.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.17 / $59.68 / $260.00	Professional	TC	$48.17	$59.68	$260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $113.03 / $357.81	Facility		$71.06	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $115.96 / $171.83	Professional		$93.47	$115.96	$171.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $46.06 / $68.19	Professional	26	$35.10	$46.06	$68.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.46 / $70.59 / $103.64	Professional	TC	$55.46	$70.59	$103.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $97.84	Professional		$32.34	$65.49	$97.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $174.89 / $252.32	Facility		$133.81	$174.89	$252.32
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 $126.41 / $155.60 / $182.33	Professional		$126.41	$155.60	$182.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.59 / $61.11 / $73.87	Professional	26	$47.59	$61.11	$73.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $78.81 / $92.55 / $108.45	Professional	TC	$78.81	$92.55	$108.45
United Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $89.14 / $143.79	Professional		$85.62	$89.14	$143.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.92 / $34.65 / $55.89	Professional	26	$32.92	$34.65	$55.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.32 / $54.78 / $89.91	Professional	TC	$52.32	$54.78	$89.91