Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.04 / $32.04 / $32.04	Facility	26	$32.04	$32.04	$32.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $124.20 / $449.15	Professional		$52.67	$124.20	$449.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $48.00 / $178.50	Professional	26	$25.02	$48.00	$178.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $89.79 / $138.78	Professional	TC	$23.88	$89.79	$138.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $116.47 / $168.90	Professional		$70.77	$116.47	$168.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $44.07 / $80.55	Professional	26	$32.95	$44.07	$80.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.79 / $57.55 / $113.11	Professional	TC	$16.79	$57.55	$113.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $53.14 / $72.39	Professional		$27.71	$53.14	$72.39
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 $79.81 / $116.58 / $235.78	Professional		$79.81	$116.58	$235.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $54.03 / $66.65 / $70.50	Professional	26	$54.03	$66.65	$70.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $52.79 / $168.19	Professional	TC	$16.36	$52.79	$168.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $105.12 / $188.35	Professional		$64.31	$105.12	$188.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.52 / $32.11 / $53.00	Professional	26	$30.52	$32.11	$53.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $62.40 / $160.02	Professional	TC	$13.18	$62.40	$160.02