Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $106.81 / $163.92	Professional		$96.82	$106.81	$163.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $15.24 / $18.92	Professional	26	$12.60	$15.24	$18.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.24 / $92.76 / $143.00	Professional	TC	$84.24	$92.76	$143.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $138.91 / $212.06	Professional		$86.76	$138.91	$212.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $19.67 / $24.92	Professional	26	$12.22	$19.67	$24.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $117.76 / $190.40	Professional	TC	$74.54	$117.76	$190.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $115.57 / $146.72	Professional		$89.95	$115.57	$146.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.24 / $169.15 / $177.80	Professional		$152.24	$169.15	$177.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $18.79 / $27.26	Professional	26	$16.82	$18.79	$27.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $131.91 / $150.44 / $153.44	Professional	TC	$131.91	$150.44	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $100.80 / $168.07	Professional		$77.70	$100.80	$168.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $14.19 / $21.92	Professional	26	$12.40	$14.19	$21.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.73 / $87.41 / $145.12	Professional	TC	$64.73	$87.41	$145.12