Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.50 / $48.50 / $48.50	Facility	26	$48.50	$48.50	$48.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $69.20 / $372.95	Professional		$55.58	$69.20	$372.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.36 / $48.50 / $263.18	Professional	26	$44.36	$48.50	$263.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $20.71 / $109.76	Professional	TC	$18.57	$20.71	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $83.56 / $120.56	Professional		$76.67	$83.56	$120.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.79 / $58.97 / $85.81	Professional	26	$54.79	$58.97	$85.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $24.74 / $34.75	Professional	TC	$21.88	$24.74	$34.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $36.68 / $66.66	Professional		$23.16	$36.68	$66.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $230.90 / $230.90 / $230.90	Facility	26	$230.90	$230.90	$230.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $118.31 / $131.94	Professional		$96.67	$118.31	$131.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.91 / $85.23 / $94.51	Professional	26	$67.91	$85.23	$94.51
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $28.76 / $33.07 / $37.45	Professional	TC	$28.76	$33.07	$37.45
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $81.65 / $109.56	Professional		$66.40	$81.65	$109.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $59.10 / $78.59	Professional	26	$47.28	$59.10	$78.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $23.90 / $31.79	Professional	TC	$19.12	$23.90	$31.79