Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $88.33 / $155.13	Professional		$50.89	$88.33	$155.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $26.17 / $62.86	Professional	26	$17.86	$26.17	$62.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.69 / $43.09 / $48.14	Professional	52	$23.69	$43.09	$48.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $52.82 / $72.31	Professional	TC	$26.56	$52.82	$72.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $89.91 / $115.98	Professional		$54.51	$89.91	$115.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.07 / $36.82 / $49.48	Professional	26	$23.07	$36.82	$49.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $52.11 / $72.28	Professional	TC	$31.04	$52.11	$72.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $36.68 / $65.27	Professional		$24.96	$36.68	$65.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $80.75 / $123.97	Professional		$72.68	$80.75	$123.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.22 / $33.58 / $62.54	Professional	26	$30.22	$33.58	$62.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.46 / $47.18 / $73.53	Professional	TC	$42.46	$47.18	$73.53
United Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $64.91 / $94.97	Professional		$53.40	$64.91	$94.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $26.07 / $39.00	Professional	26	$21.83	$26.07	$39.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $38.11 / $56.78	Professional	TC	$30.51	$38.11	$56.78