Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.11 / $39.11 / $39.11	Facility	26	$39.11	$39.11	$39.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $160.90 / $387.00	Professional		$118.48	$160.90	$387.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $39.11 / $169.00	Professional	26	$30.53	$39.11	$169.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $107.87 / $212.03	Professional	TC	$87.95	$107.87	$212.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $206.09 / $488.26	Professional		$119.25	$206.09	$488.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $46.12 / $70.34	Professional	26	$34.06	$46.12	$70.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.38 / $143.81 / $304.33	Professional	TC	$76.38	$143.81	$304.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.71 / $162.63	Professional		$32.34	$97.71	$162.63
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 $178.99 / $293.64 / $349.41	Professional		$178.99	$293.64	$349.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.59 / $59.00 / $94.01	Professional	26	$47.59	$59.00	$94.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $111.94 / $247.99 / $293.88	Professional	TC	$111.94	$247.99	$293.88
United Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $159.88 / $257.89	Professional		$96.90	$159.88	$257.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $34.75 / $56.19	Professional	26	$33.00	$34.75	$56.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.81 / $125.59 / $202.92	Professional	TC	$62.81	$125.59	$202.92