Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.39 / $29.39 / $29.39	Facility	26	$29.39	$29.39	$29.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $241.10 / $884.80	Professional		$146.47	$241.10	$884.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.49 / $29.39 / $56.94	Professional	26	$22.49	$29.39	$56.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.39 / $211.71 / $338.54	Professional	TC	$124.39	$211.71	$338.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $241.86 / $329.02	Professional		$183.41	$241.86	$329.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $33.76 / $49.71	Professional	26	$27.76	$33.76	$49.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.13 / $207.93 / $279.39	Professional	TC	$154.13	$207.93	$279.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $122.26 / $168.16	Professional		$32.34	$122.26	$168.16
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $481.30 / $481.30 / $481.30	Facility	26	$481.30	$481.30	$481.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $238.80 / $300.27	Professional		$183.60	$238.80	$300.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $35.03 / $45.70	Professional	26	$26.78	$35.03	$45.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $156.83 / $203.58 / $254.60	Professional	TC	$156.83	$203.58	$254.60
United Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $203.28 / $285.70	Professional		$152.46	$203.28	$285.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.72 / $28.70 / $43.08	Professional	26	$22.72	$28.70	$43.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.32 / $186.12 / $277.00	Professional	TC	$127.32	$186.12	$277.00