Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.14 / $92.14 / $92.14	Facility	26	$92.14	$92.14	$92.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $150.63 / $184.60	Professional		$130.08	$150.63	$184.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.13 / $79.47 / $248.48	Professional	26	$72.13	$79.47	$248.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.39 / $72.81 / $93.94	Professional	TC	$51.39	$72.81	$93.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $224.65 / $397.62	Professional		$152.47	$224.65	$397.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.57 / $112.42 / $228.16	Professional	26	$93.57	$112.42	$228.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.96 / $105.25 / $162.79	Professional	TC	$50.96	$105.25	$162.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $94.06 / $161.73	Professional		$51.96	$94.06	$161.73
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $203.75 / $203.75 / $203.75	Facility	26	$203.75	$203.75	$203.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $259.02 / $341.87	Professional		$182.84	$259.02	$341.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $91.04 / $125.00 / $224.90	Professional	26	$91.04	$125.00	$224.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $87.00 / $123.39 / $154.30	Professional	TC	$87.00	$123.39	$154.30
United Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $193.00 / $259.85	Professional		$131.24	$193.00	$259.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $103.78 / $136.72	Professional	26	$70.80	$103.78	$136.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.02 / $95.12 / $133.93	Professional	TC	$52.02	$95.12	$133.93