Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.48 / $42.48 / $42.48	Facility	26	$42.48	$42.48	$42.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $127.82 / $469.00	Professional		$82.68	$127.82	$469.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $53.53 / $196.00	Professional	26	$33.34	$53.53	$196.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $57.70 / $93.37	Professional	TC	$40.47	$57.70	$93.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $119.24 / $174.67	Professional		$91.86	$119.24	$174.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $51.99 / $77.93	Professional	26	$39.57	$51.99	$77.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.78 / $65.40 / $97.06	Professional	TC	$50.78	$65.40	$97.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $37.72 / $98.49	Professional		$24.96	$37.72	$98.49
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 $127.40 / $155.25 / $183.05	Professional		$127.40	$155.25	$183.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $53.54 / $68.31 / $85.16	Professional	26	$53.54	$68.31	$85.16
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $73.86 / $86.20 / $100.76	Professional	TC	$73.86	$86.20	$100.76
United Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $92.42 / $145.88	Professional		$85.55	$92.42	$145.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $39.34 / $63.46	Professional	26	$37.06	$39.34	$63.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.08 / $54.02 / $79.17	Professional	TC	$49.08	$54.02	$79.17