Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.25 / $73.25 / $73.25	Facility	26	$73.25	$73.25	$73.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $176.86 / $292.56	Professional		$85.44	$176.86	$292.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.78 / $59.28 / $118.53	Professional	26	$41.78	$59.28	$118.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.71 / $52.83 / $103.75	Professional	52	$42.71	$52.83	$103.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.29 / $112.65 / $138.75	Professional	TC	$44.29	$112.65	$138.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $213.53 / $274.29	Professional		$132.86	$213.53	$274.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $86.82 / $127.49	Professional	26	$55.75	$86.82	$127.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.02 / $132.65 / $167.78	Professional	TC	$75.02	$132.65	$167.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $100.72	Professional		$32.34	$65.98	$100.72
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 $108.25 / $235.81 / $313.98	Professional		$108.25	$235.81	$313.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $89.12 / $117.88	Professional	26	$49.35	$89.12	$117.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $58.91 / $146.68 / $196.08	Professional	TC	$58.91	$146.68	$196.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $176.08 / $308.08	Professional		$102.30	$176.08	$308.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $64.25 / $95.70	Professional	26	$40.79	$64.25	$95.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.53 / $103.03 / $175.48	Professional	TC	$62.53	$103.03	$175.48