Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $83.92 / $330.40	Professional		$67.14	$83.92	$330.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $35.79 / $122.32	Professional	26	$9.76	$35.79	$122.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.86 / $59.13 / $70.95	Professional	TC	$56.86	$59.13	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $77.87 / $174.73	Professional		$32.99	$77.87	$174.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $14.58 / $28.49	Professional	26	$5.66	$14.58	$28.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.34 / $66.45 / $149.13	Professional	TC	$27.34	$66.45	$149.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $57.64 / $72.43	Professional		$45.85	$57.64	$72.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $95.92 / $106.57	Professional		$89.25	$95.92	$106.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.56 / $13.96 / $20.77	Professional	26	$12.56	$13.96	$20.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $73.08 / $81.20 / $89.18	Professional	TC	$73.08	$81.20	$89.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $68.27 / $112.36	Professional		$46.34	$68.27	$112.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $12.63 / $22.73	Professional	26	$7.12	$12.63	$22.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.92 / $42.49 / $97.79	Professional	TC	$35.92	$42.49	$97.79