Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $112.31 / $173.02	Professional		$87.45	$112.31	$173.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $81.62 / $100.29	Professional	26	$67.59	$81.62	$100.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $25.89 / $43.34	Professional	TC	$19.69	$25.89	$43.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $142.31 / $198.16	Professional		$85.90	$142.31	$198.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $104.52 / $129.22	Professional	26	$65.00	$104.52	$129.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.92 / $32.82 / $53.08	Professional	TC	$18.92	$32.82	$53.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $89.27 / $127.76	Professional		$25.65	$89.27	$127.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $138.35 / $182.69	Professional		$122.40	$138.35	$182.69
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $86.83 / $97.78 / $144.28	Professional	26	$86.83	$97.78	$144.28
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.46 / $38.39 / $46.27	Professional	TC	$35.46	$38.39	$46.27
United Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $97.31 / $158.08	Professional		$84.54	$97.31	$158.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $76.84 / $117.52	Professional	26	$65.54	$76.84	$117.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $25.34 / $40.56	Professional	TC	$17.02	$25.34	$40.56