Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.43 / $47.43 / $47.43	Facility	26	$47.43	$47.43	$47.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $81.03 / $142.22	Professional		$62.12	$81.03	$142.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.88 / $113.88 / $113.88	Professional	25	$113.88	$113.88	$113.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $43.03 / $172.11	Professional	26	$30.64	$43.03	$172.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $35.69 / $57.86	Professional	TC	$24.11	$35.69	$57.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $86.94 / $154.08	Professional		$77.09	$86.94	$154.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.83 / $54.99 / $85.69	Professional	26	$42.83	$54.99	$85.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $39.27 / $76.08	Professional	TC	$25.29	$39.27	$76.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $34.63 / $97.84	Professional		$25.23	$34.63	$97.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $141.54 / $166.19	Professional		$116.91	$141.54	$166.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $58.43 / $76.38 / $98.70	Professional	26	$58.43	$76.38	$98.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $63.18 / $89.81	Professional	TC	$39.24	$63.18	$89.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $74.04 / $107.25	Professional		$57.75	$74.04	$107.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $43.91 / $58.69	Professional	26	$33.00	$43.91	$58.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $31.62 / $55.19	Professional	TC	$20.79	$31.62	$55.19