Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $46.63 / $46.63	Facility	26	$46.63	$46.63	$46.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $65.53 / $702.02	Professional		$60.39	$65.53	$702.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $46.63 / $226.61	Professional	26	$39.54	$46.63	$226.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $18.89 / $475.35	Professional	TC	$18.89	$18.89	$475.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $112.06 / $249.45	Professional		$73.95	$112.06	$249.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.30 / $56.65 / $73.31	Professional	26	$47.30	$56.65	$73.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.42 / $57.54 / $176.13	Professional	TC	$12.42	$57.54	$176.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.72 / $126.96	Professional		$32.34	$91.72	$126.96
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 $103.46 / $110.16 / $226.38	Professional		$103.46	$110.16	$226.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $82.52 / $91.52	Professional	26	$58.00	$82.52	$91.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $18.47 / $161.94	Professional	TC	$17.38	$18.47	$161.94
United Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $123.07 / $203.07	Professional		$68.08	$123.07	$203.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $51.49 / $67.98	Professional	26	$40.78	$51.49	$67.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $102.86 / $135.78	Professional	TC	$16.59	$102.86	$135.78