Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.97 / $216.66 / $216.66	Facility	26	$37.97	$216.66	$216.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $180.02 / $552.00	Professional		$107.79	$180.02	$552.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $55.33 / $138.00	Professional	26	$29.75	$55.33	$138.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.30 / $103.70 / $431.00	Professional	TC	$74.30	$103.70	$431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $149.81 / $222.40	Professional		$114.44	$149.81	$222.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $46.31 / $70.34	Professional	26	$34.65	$46.31	$70.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.69 / $101.19 / $150.90	Professional	TC	$78.69	$101.19	$150.90
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 $156.65 / $198.10 / $245.10	Professional		$156.65	$198.10	$245.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.59 / $60.86 / $72.84	Professional	26	$47.59	$60.86	$72.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $109.06 / $137.24 / $174.05	Professional	TC	$109.06	$137.24	$174.05
United Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $123.07 / $184.01	Professional		$111.35	$123.07	$184.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $35.01 / $56.48	Professional	26	$33.21	$35.01	$56.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.55 / $85.12 / $126.24	Professional	TC	$74.55	$85.12	$126.24