Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.83 / $65.83 / $65.83	Facility	26	$65.83	$65.83	$65.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.42 / $195.42 / $275.54	Professional		$195.42	$195.42	$275.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.72 / $65.83 / $107.10	Professional	26	$52.72	$65.83	$107.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.59 / $129.59 / $182.72	Professional	TC	$129.59	$129.59	$182.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $234.72 / $319.70	Professional		$182.19	$234.72	$319.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.51 / $79.16 / $104.86	Professional	26	$65.51	$79.16	$104.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.68 / $155.55 / $215.66	Professional	TC	$116.68	$155.55	$215.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $123.17 / $169.13	Professional		$32.99	$123.17	$169.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $890.71 / $890.71 / $890.71	Facility	26	$890.71	$890.71	$890.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.25 / $341.00 / $362.48	Professional		$260.25	$341.00	$362.48
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $81.79 / $119.59 / $127.13	Professional	26	$81.79	$119.59	$127.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $178.46 / $221.41 / $235.35	Professional	TC	$178.46	$221.41	$235.35
United Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $183.70 / $303.58	Professional		$153.63	$183.70	$303.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.54 / $60.27 / $100.20	Professional	26	$50.54	$60.27	$100.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.10 / $122.34 / $244.07	Professional	TC	$103.10	$122.34	$244.07