Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.97 / $37.97 / $37.97	Facility	26	$37.97	$37.97	$37.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $207.84 / $478.33	Professional		$113.34	$207.84	$478.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $59.20 / $142.00	Professional	26	$31.16	$59.20	$142.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.72 / $67.79 / $357.53	Professional	52	$50.72	$67.79	$357.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.06 / $113.70 / $219.00	Professional	TC	$81.06	$113.70	$219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $161.40 / $237.25	Professional		$114.44	$161.40	$237.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $46.31 / $69.59	Professional	26	$34.96	$46.31	$69.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.89 / $114.45 / $167.66	Professional	TC	$73.89	$114.45	$167.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.34 / $131.97	Professional		$32.34	$92.34	$131.97
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 $177.47 / $217.68 / $249.22	Professional		$177.47	$217.68	$249.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $48.09 / $60.98 / $75.34	Professional	26	$48.09	$60.98	$75.34
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $129.38 / $154.99 / $177.47	Professional	TC	$129.38	$154.99	$177.47
United Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $125.71 / $208.53	Professional		$118.97	$125.71	$208.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $35.36 / $57.05	Professional	26	$33.68	$35.36	$57.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.76 / $89.86 / $148.06	Professional	TC	$84.76	$89.86	$148.06