Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.58 / $69.58 / $69.58	Facility	26	$69.58	$69.58	$69.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $101.04 / $324.00	Professional		$81.51	$101.04	$324.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.42 / $66.31 / $230.00	Professional	26	$50.42	$66.31	$230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.70 / $36.32 / $58.30	Professional	TC	$28.70	$36.32	$58.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $115.62 / $198.39	Professional		$101.78	$115.62	$198.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.46 / $82.18 / $129.27	Professional	26	$61.46	$82.18	$129.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.08 / $41.84 / $76.68	Professional	TC	$30.08	$41.84	$76.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $36.21 / $98.98	Professional		$25.23	$36.21	$98.98
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 $155.85 / $186.00 / $213.58	Professional		$155.85	$186.00	$213.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.18 / $115.27 / $147.49	Professional	26	$88.18	$115.27	$147.49
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.89 / $63.68 / $90.52	Professional	TC	$46.89	$63.68	$90.52
United Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $96.20 / $133.25	Professional		$78.00	$96.20	$133.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.80 / $69.72 / $98.53	Professional	26	$49.80	$69.72	$98.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $33.84 / $55.78	Professional	TC	$24.75	$33.84	$55.78