Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.47 / $130.06 / $155.03	Facility	26	$54.47	$130.06	$155.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $103.76 / $339.56	Professional		$84.00	$103.76	$339.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $46.66 / $98.80	Professional	26	$41.13	$46.66	$98.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.36 / $325.39 / $421.50	Professional	50	$86.36	$325.39	$421.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $47.31 / $61.67	Professional	TC	$39.92	$47.31	$61.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $126.10 / $205.01	Professional		$107.95	$126.10	$205.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.50 / $68.31 / $107.33	Professional	26	$52.50	$68.31	$107.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.23 / $59.13 / $105.82	Professional	TC	$51.23	$59.13	$105.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $38.52 / $99.85	Professional		$24.96	$38.52	$99.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $140.40 / $181.78	Professional		$110.16	$140.40	$181.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.49 / $71.20 / $95.36	Professional	26	$50.49	$71.20	$95.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $59.67 / $72.66 / $86.43	Professional	TC	$59.67	$72.66	$86.43
United Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $110.00 / $159.51	Professional		$82.24	$110.00	$159.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $55.60 / $81.84	Professional	26	$39.29	$55.60	$81.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.20 / $59.00 / $78.70	Professional	TC	$43.20	$59.00	$78.70