Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.27 / $52.27 / $52.27	Facility	26	$52.27	$52.27	$52.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $116.14 / $517.00	Professional		$95.59	$116.14	$517.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.77 / $84.58 / $218.00	Professional	26	$47.77	$84.58	$218.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.08 / $63.87 / $255.99	Professional	TC	$43.08	$63.87	$255.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $139.16 / $200.50	Professional		$110.46	$139.16	$200.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.53 / $64.09 / $93.34	Professional	26	$59.53	$64.09	$93.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.93 / $75.33 / $138.22	Professional	TC	$50.93	$75.33	$138.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $61.01 / $95.35	Professional		$25.10	$61.01	$95.35
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $616.40 / $616.40 / $616.40	Facility	26	$616.40	$616.40	$616.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $168.14 / $187.95	Professional		$140.29	$168.14	$187.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $73.86 / $92.65 / $102.71	Professional	26	$73.86	$92.65	$102.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $66.43 / $75.47 / $85.25	Professional	TC	$66.43	$75.47	$85.25
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $122.96 / $170.51	Professional		$96.72	$122.96	$170.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $65.41 / $86.35	Professional	26	$52.33	$65.41	$86.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $64.67 / $88.56	Professional	TC	$44.39	$64.67	$88.56