Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $134.38 / $208.42	Facility		$134.38	$134.38	$208.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.83 / $25.83 / $25.83	Facility	26	$25.83	$25.83	$25.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $134.38 / $593.00	Professional		$103.86	$134.38	$593.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $25.83 / $105.00	Professional	26	$21.23	$25.83	$105.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.91 / $108.55 / $167.97	Professional	TC	$87.91	$108.55	$167.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.75 / $324.17 / $381.46	Facility		$126.75	$324.17	$381.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $181.90 / $233.05	Professional		$136.27	$181.90	$233.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $31.74 / $49.04	Professional	26	$26.57	$31.74	$49.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.96 / $144.47 / $196.43	Professional	TC	$106.96	$144.47	$196.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.34 / $131.97	Professional		$32.34	$92.34	$131.97
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 $135.41 / $176.12 / $237.21	Professional		$135.41	$176.12	$237.21
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $32.59 / $45.86	Professional	26	$26.78	$32.59	$45.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $108.63 / $141.29 / $201.99	Professional	TC	$108.63	$141.29	$201.99
United Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $154.37 / $247.50	Professional		$108.48	$154.37	$247.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $27.96 / $42.00	Professional	26	$21.70	$27.96	$42.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.76 / $123.85 / $208.66	Professional	TC	$85.76	$123.85	$208.66