Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $689.27 / $905.79	Facility		$112.55	$689.27	$905.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.62 / $125.67 / $426.80	Facility	26	$26.62	$125.67	$426.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $108.55 / $250.95 / $362.66	Facility	TC	$108.55	$250.95	$362.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $126.53 / $543.37	Professional		$21.77	$126.53	$543.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $29.58 / $96.00	Professional	26	$19.67	$29.58	$96.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.62 / $112.49 / $243.09	Professional	TC	$91.62	$112.49	$243.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.18 / $324.17 / $381.46	Facility		$132.18	$324.17	$381.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $179.32 / $243.00	Professional		$134.76	$179.32	$243.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $30.52 / $45.45	Professional	26	$24.60	$30.52	$45.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $146.62 / $197.45	Professional	TC	$110.48	$146.62	$197.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $86.94 / $116.44	Professional		$67.90	$86.94	$116.44
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 Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.56 / $168.98 / $211.27	Professional		$136.56	$168.98	$211.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $32.22 / $41.79	Professional	26	$23.72	$32.22	$41.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.84 / $137.19 / $169.46	Professional	TC	$112.84	$137.19	$169.46
United Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $155.68 / $249.50	Professional		$108.80	$155.68	$249.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $24.77 / $38.02	Professional	26	$20.16	$24.77	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.64 / $127.99 / $216.00	Professional	TC	$88.64	$127.99	$216.00