Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.89 / $23.89 / $23.89	Facility	26	$23.89	$23.89	$23.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $195.87 / $271.70	Professional		$116.45	$195.87	$271.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $24.78 / $90.00	Professional	26	$20.63	$24.78	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.41 / $169.58 / $246.17	Professional	TC	$94.41	$169.58	$246.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $189.50 / $259.08	Professional		$144.97	$189.50	$259.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $31.44 / $51.27	Professional	26	$24.90	$31.44	$51.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.83 / $154.65 / $211.86	Professional	TC	$114.83	$154.65	$211.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.38 / $133.49	Professional		$32.34	$92.38	$133.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $177.45 / $224.43	Professional		$143.06	$177.45	$224.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $33.89 / $45.86	Professional	26	$26.78	$33.89	$45.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $116.28 / $143.56 / $178.57	Professional	TC	$116.28	$143.56	$178.57
United Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $163.81 / $261.43	Professional		$116.80	$163.81	$261.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $28.08 / $43.44	Professional	26	$20.88	$28.08	$43.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.90 / $132.57 / $223.03	Professional	TC	$92.90	$132.57	$223.03