Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $148.79 / $559.44	Professional		$68.44	$148.79	$559.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $104.64 / $599.28	Professional	26	$14.30	$104.64	$599.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.03 / $46.03 / $46.03	Professional	52	$46.03	$46.03	$46.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.77 / $85.73 / $711.65	Professional	TC	$59.77	$85.73	$711.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $78.76 / $153.59	Professional		$47.43	$78.76	$153.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $45.41 / $87.96	Professional	26	$17.96	$45.41	$87.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.22 / $36.94 / $85.86	Professional	TC	$28.22	$36.94	$85.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $36.21 / $65.98	Professional		$24.96	$36.21	$65.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $85.79 / $116.57	Professional		$77.20	$85.79	$116.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.78 / $43.09 / $65.03	Professional	26	$38.78	$43.09	$65.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $38.42 / $42.69 / $51.54	Professional	TC	$38.42	$42.69	$51.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $71.45 / $128.63	Professional		$42.88	$71.45	$128.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $37.50 / $57.73	Professional	26	$23.61	$37.50	$57.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $32.11 / $76.00	Professional	TC	$19.27	$32.11	$76.00