Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.35 / $55.35 / $55.35	Facility	26	$55.35	$55.35	$55.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $166.89 / $278.75	Professional		$128.49	$166.89	$278.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.16 / $55.35 / $189.20	Professional	26	$41.16	$55.35	$189.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.01 / $113.14 / $209.40	Professional	TC	$86.01	$113.14	$209.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $199.73 / $311.50	Professional		$155.27	$199.73	$311.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $64.63 / $93.16	Professional	26	$52.65	$64.63	$93.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.89 / $133.79 / $207.63	Professional	TC	$102.89	$133.79	$207.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.03 / $131.97	Professional		$32.34	$93.03	$131.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $289.24 / $344.13	Professional		$217.05	$289.24	$344.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.47 / $89.81 / $120.87	Professional	26	$67.47	$89.81	$120.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $149.58 / $196.24 / $219.91	Professional	TC	$149.58	$196.24	$219.91
United Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $163.38 / $240.76	Professional		$122.54	$163.38	$240.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $48.30 / $77.23	Professional	26	$40.96	$48.30	$77.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.48 / $118.57 / $162.61	Professional	TC	$84.48	$118.57	$162.61