Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.01 / $161.32 / $161.32	Facility	26	$71.01	$161.32	$161.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $242.99 / $973.00	Professional		$151.06	$242.99	$973.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $75.66 / $242.00	Professional	26	$35.97	$75.66	$242.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.46 / $171.98 / $293.55	Professional	TC	$101.46	$171.98	$293.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $248.92 / $331.38	Professional		$185.18	$248.92	$331.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.41 / $61.31 / $83.90	Professional	26	$44.41	$61.31	$83.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.02 / $179.33 / $247.74	Professional	TC	$138.02	$179.33	$247.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.48 / $164.96	Professional		$32.34	$98.48	$164.96
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 $182.07 / $236.81 / $325.94	Professional		$182.07	$236.81	$325.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.84 / $58.58 / $98.80	Professional	26	$42.84	$58.58	$98.80
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $139.22 / $179.64 / $227.14	Professional	TC	$139.22	$179.64	$227.14
United Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $207.57 / $334.09	Professional		$148.16	$207.57	$334.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $54.24 / $89.50	Professional	26	$36.47	$54.24	$89.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.68 / $154.44 / $231.00	Professional	TC	$111.68	$154.44	$231.00