Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.59 / $54.59 / $54.59	Facility	26	$54.59	$54.59	$54.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $76.19 / $122.41	Professional		$60.32	$76.19	$122.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $44.21 / $82.59	Professional	26	$29.15	$44.21	$82.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $30.67 / $49.50	Professional	TC	$24.11	$30.67	$49.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $93.33 / $142.19	Professional		$76.20	$93.33	$142.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.02 / $62.08 / $86.88	Professional	26	$42.02	$62.08	$86.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $35.18 / $58.83	Professional	TC	$25.29	$35.18	$58.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $34.36 / $66.21	Professional		$25.23	$34.36	$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 $116.32 / $148.21 / $163.66	Professional		$116.32	$148.21	$163.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $83.15 / $116.77	Professional	26	$57.35	$83.15	$116.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $49.23 / $77.08	Professional	TC	$37.65	$49.23	$77.08
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.80 / $100.50	Professional		$58.88	$74.80	$100.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $45.84 / $63.65	Professional	26	$33.17	$45.84	$63.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $28.00 / $43.09	Professional	TC	$20.16	$28.00	$43.09