Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.11 / $167.57 / $181.34	Facility	26	$54.11	$167.57	$181.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $199.51 / $567.00	Professional		$117.47	$199.51	$567.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $85.85 / $190.00	Professional	26	$42.60	$85.85	$190.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.34 / $87.44 / $141.50	Professional	TC	$71.34	$87.44	$141.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $168.58 / $241.16	Professional		$128.69	$168.58	$241.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.25 / $67.76 / $96.10	Professional	26	$50.25	$67.76	$96.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.61 / $97.51 / $142.21	Professional	TC	$75.61	$97.51	$142.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $99.85	Professional		$32.34	$65.98	$99.85
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 $174.49 / $218.59 / $255.21	Professional		$174.49	$218.59	$255.21
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $68.90 / $88.15 / $110.23	Professional	26	$68.90	$88.15	$110.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $105.59 / $130.49 / $149.41	Professional	TC	$105.59	$130.49	$149.41
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $130.56 / $205.44	Professional		$124.51	$130.56	$205.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $50.89 / $82.09	Professional	26	$48.35	$50.89	$82.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.52 / $75.48 / $121.47	Professional	TC	$72.52	$75.48	$121.47