Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.78 / $50.78 / $50.78	Facility	26	$50.78	$50.78	$50.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $143.77 / $209.10	Professional		$143.77	$143.77	$209.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $50.78 / $326.91	Professional	26	$40.47	$50.78	$326.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.99 / $92.99 / $99.15	Professional	TC	$92.99	$92.99	$99.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $167.18 / $554.55	Professional		$72.76	$167.18	$554.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $52.06 / $285.61	Professional	26	$28.25	$52.06	$285.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.51 / $115.45 / $284.33	Professional	TC	$44.51	$115.45	$284.33
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $271.47 / $271.47 / $271.47	Facility	26	$271.47	$271.47	$271.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $212.27 / $311.49	Professional		$191.04	$212.27	$311.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $61.51 / $102.40	Professional	26	$44.53	$61.51	$102.40
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $145.19 / $158.61 / $186.91	Professional	TC	$145.19	$158.61	$186.91
United Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $110.44 / $239.28	Professional		$99.28	$110.44	$239.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $34.40 / $67.77	Professional	26	$27.50	$34.40	$67.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.03 / $83.97 / $179.70	Professional	TC	$65.03	$83.97	$179.70