Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.54 / $76.67 / $89.20	Facility	26	$33.54	$76.67	$89.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $66.43 / $228.00	Professional		$51.00	$66.43	$228.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $51.16 / $150.00	Professional	26	$26.88	$51.16	$150.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.42 / $57.49 / $285.00	Professional	52	$27.42	$57.49	$285.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $27.33 / $141.00	Professional	TC	$21.73	$27.33	$141.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $73.38 / $108.73	Professional		$58.90	$73.38	$108.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $40.43 / $60.52	Professional	26	$32.94	$40.43	$60.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $33.51 / $48.84	Professional	TC	$25.96	$33.51	$48.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $36.68 / $64.69	Professional		$24.84	$36.68	$64.69
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $46.36 / $46.36 / $46.36	Facility	26	$46.36	$46.36	$46.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $96.88 / $114.70	Professional		$77.33	$96.88	$114.70
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.64 / $53.41 / $63.90	Professional	26	$41.64	$53.41	$63.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.69 / $43.47 / $50.80	Professional	TC	$35.69	$43.47	$50.80
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $62.28 / $92.30	Professional		$55.94	$62.28	$92.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $33.75 / $53.56	Professional	26	$30.68	$33.75	$53.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $28.04 / $45.34	Professional	TC	$25.26	$28.04	$45.34