Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.72 / $100.81 / $121.33	Facility	26	$41.72	$100.81	$121.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $218.59 / $587.60	Professional		$112.12	$218.59	$587.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $41.72 / $152.80	Professional	26	$32.72	$41.72	$152.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.71 / $88.40 / $726.00	Professional	52	$35.71	$88.40	$726.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.60 / $104.20 / $260.25	Professional	TC	$83.60	$104.20	$260.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $179.46 / $264.14	Professional		$141.58	$179.46	$264.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $50.04 / $76.27	Professional	26	$40.78	$50.04	$76.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.80 / $126.91 / $188.56	Professional	TC	$100.80	$126.91	$188.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.72 / $131.97	Professional		$32.34	$91.72	$131.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $175.90 / $175.90 / $175.90	Facility	26	$175.90	$175.90	$175.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $229.88 / $276.81	Professional		$190.36	$229.88	$276.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $65.73 / $79.14	Professional	26	$53.05	$65.73	$79.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $137.31 / $164.16 / $197.66	Professional	TC	$137.31	$164.16	$197.66
United Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $153.24 / $231.61	Professional		$139.31	$153.24	$231.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $43.27 / $65.41	Professional	26	$39.25	$43.27	$65.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.97 / $110.29 / $166.20	Professional	TC	$99.97	$110.29	$166.20