Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.29 / $123.29 / $123.29	Facility		$123.29	$123.29	$123.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.16 / $15.16 / $15.16	Facility	26	$15.16	$15.16	$15.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $123.29 / $181.59	Professional		$102.35	$123.29	$181.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.15 / $20.04 / $51.06	Professional	26	$11.15	$20.04	$51.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.35 / $108.13 / $152.22	Professional	TC	$95.35	$108.13	$152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $223.46 / $295.00	Professional		$151.87	$223.46	$295.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $27.00 / $43.47	Professional	26	$16.51	$27.00	$43.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.08 / $187.41 / $259.25	Professional	TC	$127.08	$187.41	$259.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.53 / $133.49	Professional		$32.34	$93.53	$133.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.69 / $229.77 / $294.66	Professional		$168.69	$229.77	$294.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $29.33 / $47.73	Professional	26	$20.95	$29.33	$47.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $142.29 / $193.66 / $273.72	Professional	TC	$142.29	$193.66	$273.72
United Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $187.25 / $273.51	Professional		$136.09	$187.25	$273.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $24.14 / $42.13	Professional	26	$13.20	$24.14	$42.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.45 / $154.56 / $242.88	Professional	TC	$111.45	$154.56	$242.88