Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.49 / $36.49 / $36.49	Facility	26	$36.49	$36.49	$36.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $122.49 / $184.08	Professional		$101.65	$122.49	$184.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $32.61 / $55.04	Professional	26	$24.28	$32.61	$55.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $99.68 / $151.91	Professional	TC	$69.04	$99.68	$151.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $240.98 / $304.89	Professional		$180.45	$240.98	$304.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $39.86 / $52.50	Professional	26	$30.53	$39.86	$52.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.19 / $200.19 / $253.42	Professional	TC	$145.19	$200.19	$253.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $97.71 / $162.63	Professional		$32.34	$97.71	$162.63
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 $183.22 / $238.30 / $319.44	Professional		$183.22	$238.30	$319.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $37.38 / $51.08	Professional	26	$27.93	$37.38	$51.08
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $155.30 / $198.72 / $268.37	Professional	TC	$155.30	$198.72	$268.37
United Facility/Professional Professional Modifier Low / Median / High Price $143.51 / $197.05 / $310.49	Professional		$143.51	$197.05	$310.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $31.83 / $46.00	Professional	26	$24.30	$31.83	$46.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.04 / $168.96 / $264.49	Professional	TC	$119.04	$168.96	$264.49