Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $396.58 / $746.43	Facility		$132.04	$396.58	$746.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	26	$23.49	$23.49	$23.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $146.77 / $623.00	Professional		$113.82	$146.77	$623.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $31.85 / $125.15	Professional	26	$20.29	$31.85	$125.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.84 / $111.67 / $162.83	Professional	TC	$95.84	$111.67	$162.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $324.17 / $381.46	Facility		$136.50	$324.17	$381.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $217.81 / $291.27	Professional		$164.55	$217.81	$291.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $31.48 / $49.88	Professional	26	$25.22	$31.48	$49.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.54 / $182.49 / $253.67	Professional	TC	$137.54	$182.49	$253.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.38 / $133.69	Professional		$32.34	$92.38	$133.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $211.60 / $303.77	Facility		$169.70	$211.60	$303.77
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 $165.24 / $202.87 / $267.24	Professional		$165.24	$202.87	$267.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.01 / $34.96 / $46.79	Professional	26	$26.01	$34.96	$46.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $139.22 / $170.87 / $220.46	Professional	TC	$139.22	$170.87	$220.46
United Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $191.10 / $303.00	Professional		$131.44	$191.10	$303.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $26.91 / $36.81	Professional	26	$20.17	$26.91	$36.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.60 / $161.49 / $273.49	Professional	TC	$113.60	$161.49	$273.49