Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.77 / $41.77 / $41.77	Facility	26	$41.77	$41.77	$41.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $164.03 / $592.50	Professional		$126.16	$164.03	$592.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.02 / $41.77 / $173.25	Professional	26	$30.02	$41.77	$173.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.88 / $122.25 / $225.58	Professional	TC	$98.88	$122.25	$225.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $203.42 / $303.64	Professional		$144.41	$203.42	$303.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.61 / $76.00	Professional	26	$38.02	$50.61	$76.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.32 / $152.81 / $227.64	Professional	TC	$103.32	$152.81	$227.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.23 / $162.99	Professional		$32.34	$98.23	$162.99
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 $219.11 / $268.74 / $316.17	Professional		$219.11	$268.74	$316.17
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $67.29 / $81.19	Professional	26	$52.54	$67.29	$81.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $166.56 / $199.72 / $234.97	Professional	TC	$166.56	$199.72	$234.97
United Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $159.16 / $256.73	Professional		$144.63	$159.16	$256.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.71 / $39.34 / $63.46	Professional	26	$37.71	$39.34	$63.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.83 / $119.82 / $193.27	Professional	TC	$107.83	$119.82	$193.27