Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.50 / $54.50 / $54.50	Facility	26	$54.50	$54.50	$54.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $271.12 / $271.12	Professional		$271.12	$271.12	$271.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $54.50 / $54.50	Professional	26	$54.50	$54.50	$54.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.62 / $216.62 / $216.62	Professional	TC	$216.62	$216.62	$216.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $310.74 / $418.81	Professional		$245.66	$310.74	$418.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.13 / $63.62 / $85.83	Professional	26	$54.13	$63.62	$85.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.53 / $247.12 / $332.98	Professional	TC	$191.53	$247.12	$332.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $150.89 / $203.42	Professional		$32.99	$150.89	$203.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $686.36 / $686.36 / $686.36	Facility	26	$686.36	$686.36	$686.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $447.83 / $476.03	Professional		$312.80	$447.83	$476.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $66.92 / $96.13 / $102.19	Professional	26	$66.92	$96.13	$102.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $245.88 / $351.70 / $373.86	Professional	TC	$245.88	$351.70	$373.86
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $252.05 / $387.65	Professional		$199.70	$252.05	$387.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $50.04 / $98.63	Professional	26	$41.88	$50.04	$98.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $198.12 / $370.08	Professional	TC	$157.68	$198.12	$370.08