Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $471.83 / $702.61	Facility		$112.55	$471.83	$702.61
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $89.20 / $348.17	Facility	26	$32.36	$89.20	$348.17
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $277.00 / $578.09 / $760.58	Facility	TC	$277.00	$578.09	$760.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $133.21 / $491.00	Professional		$92.15	$133.21	$491.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $40.51 / $116.00	Professional	26	$25.05	$40.51	$116.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.49 / $83.45 / $362.53	Professional	TC	$52.49	$83.45	$362.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $191.49 / $432.14	Facility		$80.12	$191.49	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $125.30 / $186.71	Professional		$97.62	$125.30	$186.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $39.65 / $60.09	Professional	26	$29.69	$39.65	$60.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.54 / $83.76 / $128.35	Professional	TC	$65.54	$83.76	$128.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.67 / $98.98	Professional		$32.34	$65.67	$98.98
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 Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $163.94 / $220.28	Professional		$129.38	$163.94	$220.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $52.92 / $63.11	Professional	26	$40.65	$52.92	$63.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $88.73 / $111.78 / $157.75	Professional	TC	$88.73	$111.78	$157.75
United Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $95.09 / $153.04	Professional		$88.11	$95.09	$153.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $29.95 / $49.42	Professional	26	$28.47	$29.95	$49.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.66 / $66.12 / $103.62	Professional	TC	$59.66	$66.12	$103.62