Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.74 / $29.74 / $29.74	Facility	26	$29.74	$29.74	$29.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $110.65 / $531.00	Professional		$87.14	$110.65	$531.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $29.74 / $57.57	Professional	26	$23.17	$29.74	$57.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.32 / $80.91 / $144.55	Professional	TC	$63.32	$80.91	$144.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $120.97 / $206.98	Professional		$98.57	$120.97	$206.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $35.83 / $55.58	Professional	26	$27.90	$35.83	$55.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.50 / $85.29 / $138.93	Professional	TC	$69.50	$85.29	$138.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $98.98	Professional		$32.34	$65.98	$98.98
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 $148.22 / $165.10 / $199.66	Professional		$148.22	$165.10	$199.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $49.06 / $57.91	Professional	26	$38.65	$49.06	$57.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $109.56 / $117.59 / $146.72	Professional	TC	$109.56	$117.59	$146.72
United Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $101.84 / $173.24	Professional		$91.12	$101.84	$173.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $28.51 / $47.40	Professional	26	$26.20	$28.51	$47.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.26 / $74.36 / $125.36	Professional	TC	$64.26	$74.36	$125.36