Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $13.54 / $13.54	Facility	26	$13.54	$13.54	$13.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $92.58 / $192.14	Professional		$85.05	$92.58	$192.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $13.54 / $51.30	Professional	26	$11.29	$13.54	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.76 / $80.22 / $165.74	Professional	TC	$73.76	$80.22	$165.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $151.43 / $232.95	Professional		$96.83	$151.43	$232.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $14.29 / $25.64	Professional	26	$10.51	$14.29	$25.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.41 / $137.86 / $210.88	Professional	TC	$85.41	$137.86	$210.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $86.85 / $117.69	Professional		$66.30	$86.85	$117.69
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $179.41 / $226.12	Professional		$153.68	$179.41	$226.12
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $20.25 / $26.29	Professional	26	$17.35	$20.25	$26.29
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $136.32 / $159.85 / $199.84	Professional	TC	$136.32	$159.85	$199.84
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $134.29 / $231.85	Professional		$98.78	$134.29	$231.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $11.37 / $21.22	Professional	26	$10.40	$11.37	$21.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.04 / $123.89 / $180.10	Professional	TC	$88.04	$123.89	$180.10