Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.99 / $273.81 / $274.62	Facility	26	$40.99	$273.81	$274.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $163.77 / $485.00	Professional		$88.95	$163.77	$485.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $63.89 / $138.11	Professional	26	$33.31	$63.89	$138.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.14 / $70.76 / $215.92	Professional	TC	$54.14	$70.76	$215.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $129.00 / $190.23	Professional		$101.14	$129.00	$190.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $50.57 / $75.78	Professional	26	$38.40	$50.57	$75.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.22 / $77.26 / $116.68	Professional	TC	$61.22	$77.26	$116.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $97.84	Professional		$32.34	$65.98	$97.84
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 $137.81 / $173.26 / $201.65	Professional		$137.81	$173.26	$201.65
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $66.51 / $82.91	Professional	26	$52.54	$66.51	$82.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $85.27 / $106.81 / $123.39	Professional	TC	$85.27	$106.81	$123.39
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $99.77 / $160.78	Professional		$97.44	$99.77	$160.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.34 / $38.25 / $63.12	Professional	26	$36.34	$38.25	$63.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.29 / $62.32 / $100.62	Professional	TC	$58.29	$62.32	$100.62