Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.31 / $35.31 / $35.31	Facility	26	$35.31	$35.31	$35.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $220.82 / $929.00	Professional		$178.13	$220.82	$929.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.13 / $39.32 / $115.00	Professional	26	$31.13	$39.32	$115.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.05 / $172.93 / $849.24	Professional	TC	$143.05	$172.93	$849.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.51 / $286.14 / $388.86	Professional		$224.51	$286.14	$388.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.93 / $49.81 / $82.04	Professional	26	$38.93	$49.81	$82.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.32 / $232.99 / $311.00	Professional	TC	$177.32	$232.99	$311.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $130.98 / $199.82	Professional		$32.34	$130.98	$199.82
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 $218.03 / $271.13 / $351.75	Professional		$218.03	$271.13	$351.75
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.84 / $50.20 / $72.87	Professional	26	$42.84	$50.20	$72.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $175.19 / $223.43 / $278.86	Professional	TC	$175.19	$223.43	$278.86
United Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $250.58 / $354.63	Professional		$183.36	$250.58	$354.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $40.78 / $60.29	Professional	26	$32.77	$40.78	$60.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.49 / $202.96 / $323.91	Professional	TC	$146.49	$202.96	$323.91