Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $94.33 / $197.70	Facility		$9.13	$94.33	$197.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $80.84 / $167.82	Professional		$44.26	$80.84	$167.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.50 / $34.29 / $69.50	Professional	26	$28.50	$34.29	$69.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.11 / $326.11 / $334.86	Professional	50	$326.11	$326.11	$334.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.75 / $38.65 / $167.43	Professional	52	$19.75	$38.65	$167.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $58.15 / $132.91	Professional	TC	$18.21	$58.15	$132.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $92.20 / $134.00	Professional		$59.62	$92.20	$134.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $41.54 / $64.73	Professional	26	$34.90	$41.54	$64.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $38.82 / $81.36	Professional	TC	$25.88	$38.82	$81.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $37.72 / $66.66	Professional		$24.84	$37.72	$66.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $242.20 / $352.96	Facility		$186.54	$242.20	$352.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $203.75 / $203.75 / $203.75	Facility	26	$203.75	$203.75	$203.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $76.36 / $138.26	Professional		$53.94	$76.36	$138.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $39.86 / $50.34	Professional	26	$34.04	$39.86	$50.34
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $30.33 / $84.77	Professional	TC	$19.89	$30.33	$84.77
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $79.40 / $126.50	Professional		$56.33	$79.40	$126.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $37.70 / $46.96	Professional	26	$26.95	$37.70	$46.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $46.55 / $83.79	Professional	TC	$22.67	$46.55	$83.79