Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.32 / $31.32 / $31.32	Facility	26	$31.32	$31.32	$31.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $115.44 / $551.00	Professional		$86.07	$115.44	$551.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $33.83 / $111.20	Professional	26	$24.64	$33.83	$111.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $70.62 / $160.43	Professional	TC	$61.40	$70.62	$160.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $129.58 / $194.51	Professional		$97.93	$129.58	$194.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $37.03 / $55.56	Professional	26	$28.23	$37.03	$55.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.34 / $95.54 / $145.58	Professional	TC	$67.34	$95.54	$145.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $133.49	Professional		$32.34	$65.49	$133.49
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 $158.37 / $179.41 / $191.48	Professional		$158.37	$179.41	$191.48
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $44.88 / $59.42	Professional	26	$38.17	$44.88	$59.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $119.89 / $132.07 / $154.80	Professional	TC	$119.89	$132.07	$154.80
United Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $115.85 / $186.87	Professional		$95.87	$115.85	$186.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $29.37 / $52.93	Professional	26	$27.90	$29.37	$52.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.22 / $87.70 / $141.12	Professional	TC	$77.22	$87.70	$141.12