Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.76 / $178.74 / $178.74	Facility	26	$35.76	$178.74	$178.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $213.29 / $605.00	Professional		$102.74	$213.29	$605.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.67 / $55.62 / $171.00	Professional	26	$29.67	$55.62	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.62 / $98.68 / $159.68	Professional	TC	$71.62	$98.68	$159.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $138.16 / $210.97	Professional		$86.50	$138.16	$210.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $42.98 / $64.55	Professional	26	$32.31	$42.98	$64.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.93 / $95.18 / $146.18	Professional	TC	$46.93	$95.18	$146.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $98.49	Professional		$32.34	$65.49	$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 $128.44 / $148.72 / $173.55	Professional		$128.44	$148.72	$173.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $56.74 / $66.80	Professional	26	$44.12	$56.74	$66.80
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $102.37 / $122.06	Professional	TC	$65.65	$102.37	$122.06
United Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $106.83 / $176.27	Professional		$69.62	$106.83	$176.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.75 / $32.47 / $53.59	Professional	26	$31.75	$32.47	$53.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.00 / $74.34 / $122.68	Professional	TC	$44.00	$74.34	$122.68