Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.78 / $51.78 / $51.78	Facility	26	$51.78	$51.78	$51.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $81.44 / $156.78	Professional		$66.20	$81.44	$156.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $46.80 / $79.98	Professional	26	$34.00	$46.80	$79.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $33.11 / $53.46	Professional	TC	$24.88	$33.11	$53.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $90.95 / $158.24	Professional		$80.83	$90.95	$158.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.80 / $60.98 / $95.00	Professional	26	$47.80	$60.98	$95.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $36.39 / $63.24	Professional	TC	$26.16	$36.39	$63.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $34.89 / $66.21	Professional		$25.23	$34.89	$66.21
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 $122.81 / $150.85 / $167.61	Professional		$122.81	$150.85	$167.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $64.92 / $84.86 / $109.45	Professional	26	$64.92	$84.86	$109.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.07 / $51.06 / $82.74	Professional	TC	$39.07	$51.06	$82.74
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $79.20 / $107.35	Professional		$62.39	$79.20	$107.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $50.02 / $62.96	Professional	26	$36.60	$50.02	$62.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $30.96 / $47.51	Professional	TC	$21.44	$30.96	$47.51