Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.20 / $105.61 / $298.00	Facility	26	$44.20	$105.61	$298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $142.82 / $708.00	Professional		$37.21	$142.82	$708.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.79 / $44.20 / $89.60	Professional	26	$29.79	$44.20	$89.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.76 / $98.63 / $246.36	Professional	TC	$75.76	$98.63	$246.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $175.38 / $258.97	Professional		$138.57	$175.38	$258.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.17 / $52.98 / $81.26	Professional	26	$43.17	$52.98	$81.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.40 / $120.02 / $178.45	Professional	TC	$95.40	$120.02	$178.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.06 / $131.97	Professional		$32.34	$92.06	$131.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $166.38 / $166.38 / $166.38	Facility	26	$166.38	$166.38	$166.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $225.01 / $270.93	Professional		$186.39	$225.01	$270.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $69.65 / $83.86	Professional	26	$56.51	$69.65	$83.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $129.88 / $155.38 / $187.07	Professional	TC	$129.88	$155.38	$187.07
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $150.06 / $226.80	Professional		$136.41	$150.06	$226.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $46.05 / $69.59	Professional	26	$41.49	$46.05	$69.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.56 / $104.01 / $156.35	Professional	TC	$94.56	$104.01	$156.35