Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $454.25 / $839.22	Facility		$105.08	$454.25	$839.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.40 / $232.11 / $232.11	Facility	26	$44.40	$232.11	$232.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $173.59 / $636.00	Professional		$106.17	$173.59	$636.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $51.42 / $182.00	Professional	26	$34.67	$51.42	$182.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $109.52 / $454.00	Professional	TC	$74.34	$109.52	$454.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.02 / $191.49 / $432.14	Facility		$105.02	$191.49	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $167.91 / $246.38	Professional		$130.77	$167.91	$246.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.64 / $53.93 / $79.29	Professional	26	$40.64	$53.93	$79.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.52 / $111.30 / $164.47	Professional	TC	$87.52	$111.30	$164.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.69 / $130.66	Professional		$32.34	$66.69	$130.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $225.21 / $387.37	Facility		$169.70	$225.21	$387.37
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 $173.01 / $219.21 / $278.86	Professional		$173.01	$219.21	$278.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $56.02 / $71.61 / $86.42	Professional	26	$56.02	$71.61	$86.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $116.99 / $148.41 / $194.59	Professional	TC	$116.99	$148.41	$194.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $131.86 / $206.63	Professional		$118.97	$131.86	$206.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.44 / $41.86 / $67.52	Professional	26	$39.44	$41.86	$67.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.20 / $85.47 / $137.56	Professional	TC	$79.20	$85.47	$137.56