Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.47 / $52.47 / $52.47	Facility	26	$52.47	$52.47	$52.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $152.62 / $275.00	Professional		$119.03	$152.62	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $52.47 / $160.40	Professional	26	$40.39	$52.47	$160.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $604.69 / $604.69 / $604.69	Professional	50	$604.69	$604.69	$604.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.64 / $95.94 / $219.44	Professional	TC	$78.64	$95.94	$219.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $161.40 / $294.98	Professional		$136.54	$161.40	$294.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.19 / $60.59 / $90.17	Professional	26	$49.19	$60.59	$90.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.59 / $106.42 / $217.47	Professional	TC	$81.59	$106.42	$217.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.71 / $162.63	Professional		$32.34	$97.71	$162.63
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $481.30 / $481.30 / $481.30	Facility	26	$481.30	$481.30	$481.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $173.69 / $206.97	Professional		$146.65	$173.69	$206.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.43 / $57.43 / $71.44	Professional	26	$47.43	$57.43	$71.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $86.27 / $109.53 / $154.28	Professional	TC	$86.27	$109.53	$154.28
United Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $130.56 / $204.13	Professional		$99.62	$130.56	$204.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $48.80 / $73.09	Professional	26	$39.63	$48.80	$73.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.14 / $85.25 / $131.04	Professional	TC	$58.14	$85.25	$131.04