Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $339.00 / $719.62	Facility		$100.09	$339.00	$719.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.65 / $192.24 / $232.35	Facility	26	$40.65	$192.24	$232.35
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $207.42 / $492.25 / $701.65	Facility	TC	$207.42	$492.25	$701.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $157.75 / $622.51	Professional		$95.88	$157.75	$622.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.19 / $47.00 / $152.91	Professional	26	$30.19	$47.00	$152.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.94 / $71.66 / $328.05	Professional	52	$45.94	$71.66	$328.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.09 / $102.67 / $201.04	Professional	TC	$66.09	$102.67	$201.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $191.49 / $432.14	Facility		$99.14	$191.49	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $155.03 / $235.63	Professional		$121.94	$155.03	$235.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.08 / $49.19 / $76.17	Professional	26	$37.08	$49.19	$76.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.61 / $103.50 / $163.26	Professional	TC	$82.61	$103.50	$163.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.69 / $100.37	Professional		$32.34	$66.69	$100.37
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 $161.11 / $203.07 / $269.93	Professional		$161.11	$203.07	$269.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $51.55 / $65.52 / $79.12	Professional	26	$51.55	$65.52	$79.12
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $109.56 / $138.47 / $190.81	Professional	TC	$109.56	$138.47	$190.81
United Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $126.57 / $189.96	Professional		$114.63	$126.57	$189.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.63 / $37.53 / $60.54	Professional	26	$36.63	$37.53	$60.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.26 / $79.55 / $131.91	Professional	TC	$77.26	$79.55	$131.91