Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $287.74 / $648.26	Facility		$82.00	$287.74	$648.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.46 / $30.46 / $234.00	Facility	26	$30.46	$30.46	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $107.55 / $139.38	Professional		$82.00	$107.55	$139.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.36 / $30.46 / $60.93	Professional	26	$5.36	$30.46	$60.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $51.54 / $124.99	Professional	TC	$44.04	$51.54	$124.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $157.88 / $210.80	Professional		$71.58	$157.88	$210.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.07 / $38.86 / $57.75	Professional	26	$29.07	$38.86	$57.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.51 / $120.23 / $161.15	Professional	TC	$42.51	$120.23	$161.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.72 / $129.38	Professional		$32.34	$91.72	$129.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $186.04 / $201.08	Professional		$158.13	$186.04	$201.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $39.15 / $50.51 / $59.42	Professional	26	$39.15	$50.51	$59.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $107.71 / $132.47 / $148.16	Professional	TC	$107.71	$132.47	$148.16
United Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $110.07 / $181.62	Professional		$75.77	$110.07	$181.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $28.51 / $45.99	Professional	26	$27.52	$28.51	$45.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.25 / $81.56 / $131.56	Professional	TC	$48.25	$81.56	$131.56