Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $233.35 / $381.06	Facility		$24.85	$233.35	$381.06
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.48 / $67.48 / $67.48	Facility	26	$67.48	$67.48	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $201.00 / $262.55	Professional		$150.10	$201.00	$262.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $55.46 / $208.95	Professional	26	$37.95	$55.46	$208.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $91.20 / $163.34 / $163.34	Professional	52	$91.20	$163.34	$163.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.23 / $139.72 / $171.99	Professional	TC	$105.23	$139.72	$171.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $258.13 / $306.67	Professional		$194.92	$258.13	$306.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.37 / $73.11 / $92.06	Professional	26	$51.37	$73.11	$92.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.88 / $186.84 / $213.14	Professional	TC	$141.88	$186.84	$213.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.53 / $134.27	Professional		$32.34	$93.53	$134.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.97 / $296.17 / $431.61	Facility		$230.97	$296.17	$431.61
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $253.98 / $253.98 / $253.98	Facility	26	$253.98	$253.98	$253.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $266.80 / $350.14	Professional		$156.06	$266.80	$350.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $79.31 / $99.52	Professional	26	$44.37	$79.31	$99.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $111.69 / $185.83 / $242.50	Professional	TC	$111.69	$185.83	$242.50
United Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $221.68 / $302.50	Professional		$140.40	$221.68	$302.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.68 / $59.29 / $88.81	Professional	26	$36.68	$59.29	$88.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.92 / $160.58 / $211.18	Professional	TC	$113.92	$160.58	$211.18