Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.65 / $76.65 / $76.65	Facility	26	$76.65	$76.65	$76.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $109.17 / $377.00	Professional		$88.06	$109.17	$377.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $68.94 / $121.62	Professional	26	$48.41	$68.94	$121.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.87 / $40.22 / $62.26	Professional	TC	$31.87	$40.22	$62.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $129.82 / $214.43	Professional		$112.39	$129.82	$214.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.53 / $89.71 / $140.16	Professional	26	$70.53	$89.71	$140.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.43 / $42.09 / $76.16	Professional	TC	$34.43	$42.09	$76.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $37.24 / $98.49	Professional		$25.23	$37.24	$98.49
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 $169.88 / $204.39 / $224.80	Professional		$169.88	$204.39	$224.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $95.75 / $125.17 / $160.08	Professional	26	$95.75	$125.17	$160.08
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $53.17 / $68.16 / $96.89	Professional	TC	$53.17	$68.16	$96.89
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $112.40 / $166.77	Professional		$86.75	$112.40	$166.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.03 / $72.38 / $106.83	Professional	26	$53.03	$72.38	$106.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $37.36 / $54.48	Professional	TC	$26.18	$37.36	$54.48