Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $203.32 / $724.61	Professional		$63.86	$203.32	$724.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $67.28 / $353.25	Professional	26	$23.25	$67.28	$353.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.09 / $69.09 / $94.98	Professional	TC	$69.09	$69.09	$94.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $106.18 / $238.26	Professional		$45.44	$106.18	$238.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $32.29 / $56.36	Professional	26	$12.70	$32.29	$56.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.72 / $81.06 / $181.90	Professional	TC	$32.72	$81.06	$181.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.72 / $129.38	Professional		$32.34	$91.72	$129.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $134.86 / $153.79	Professional		$121.37	$134.86	$153.79
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $27.65 / $30.72 / $45.59	Professional	26	$27.65	$30.72	$45.59
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $91.80 / $102.00 / $110.09	Professional	TC	$91.80	$102.00	$110.09
United Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $68.11 / $151.66	Professional		$59.29	$68.11	$151.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $27.79 / $50.02	Professional	26	$15.80	$27.79	$50.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.84 / $79.40 / $142.91	Professional	TC	$42.84	$79.40	$142.91