Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.83 / $434.17 / $698.25	Facility		$212.83	$434.17	$698.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	26	$37.26	$37.26	$37.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $179.54 / $337.65	Professional		$56.37	$179.54	$337.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.61 / $37.26 / $148.94	Professional	26	$28.61	$37.26	$148.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $150.53 / $204.80	Professional	TC	$23.70	$150.53	$204.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $94.31 / $281.00	Professional		$65.97	$94.31	$281.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $44.55 / $65.37	Professional	26	$33.59	$44.55	$65.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $43.56 / $225.00	Professional	TC	$28.33	$43.56	$225.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $37.11 / $66.21	Professional		$24.93	$37.11	$66.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $106.81 / $146.56	Professional		$86.26	$106.81	$146.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $56.70 / $70.83	Professional	26	$44.12	$56.70	$70.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.14 / $50.44 / $76.83	Professional	TC	$42.14	$50.44	$76.83
United Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $61.58 / $198.08	Professional		$57.92	$61.58	$198.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.86 / $33.64 / $54.00	Professional	26	$30.86	$33.64	$54.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $28.35 / $164.44	Professional	TC	$25.99	$28.35	$164.44