Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $27.02 / $27.02	Facility	26	$27.02	$27.02	$27.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $206.24 / $903.00	Professional		$182.66	$206.24	$903.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.51 / $34.72 / $154.01	Professional	26	$21.51	$34.72	$154.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.93 / $172.36 / $252.87	Professional	TC	$147.93	$172.36	$252.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.73 / $284.07 / $399.50	Professional		$224.73	$284.07	$399.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.50 / $49.34 / $70.73	Professional	26	$30.50	$49.34	$70.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.40 / $245.03 / $319.83	Professional	TC	$184.40	$245.03	$319.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.89 / $202.06	Professional		$32.34	$150.89	$202.06
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 $227.21 / $295.52 / $364.65	Professional		$227.21	$295.52	$364.65
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $37.47 / $47.60 / $73.05	Professional	26	$37.47	$47.60	$73.05
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $184.37 / $239.80 / $311.20	Professional	TC	$184.37	$239.80	$311.20
United Facility/Professional Professional Modifier Low / Median / High Price $188.48 / $259.02 / $367.00	Professional		$188.48	$259.02	$367.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $41.14 / $60.82	Professional	26	$28.52	$41.14	$60.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.08 / $211.64 / $332.99	Professional	TC	$150.08	$211.64	$332.99