Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.93 / $33.93 / $33.93	Facility	26	$33.93	$33.93	$33.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $117.15 / $599.00	Professional		$96.64	$117.15	$599.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $32.67 / $129.96	Professional	26	$25.63	$32.67	$129.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.92 / $82.04 / $150.50	Professional	TC	$65.92	$82.04	$150.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $143.24 / $214.92	Professional		$111.80	$143.24	$214.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.42 / $40.54 / $61.49	Professional	26	$30.42	$40.54	$61.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $101.90 / $152.03	Professional	TC	$78.84	$101.90	$152.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.51 / $133.49	Professional		$32.34	$66.51	$133.49
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 $155.16 / $181.94 / $219.05	Professional		$155.16	$181.94	$219.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $52.79 / $64.09	Professional	26	$41.64	$52.79	$64.09
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $113.52 / $131.72 / $154.97	Professional	TC	$113.52	$131.72	$154.97
United Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $109.71 / $176.97	Professional		$103.29	$109.71	$176.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $30.32 / $50.03	Professional	26	$28.88	$30.32	$50.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.41 / $79.39 / $128.06	Professional	TC	$74.41	$79.39	$128.06