Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.21 / $255.79 / $274.17	Facility	26	$89.21	$255.79	$274.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $147.19 / $253.85	Professional		$126.34	$147.19	$253.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $79.23 / $141.53	Professional	26	$72.04	$79.23	$141.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.78 / $61.75 / $68.64	Professional	TC	$51.78	$61.75	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $202.81 / $360.83	Professional		$158.04	$202.81	$360.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $114.54 / $198.40	Professional	26	$91.58	$114.54	$198.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.45 / $86.48 / $118.47	Professional	TC	$74.45	$86.48	$118.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $92.57 / $129.38	Professional		$51.96	$92.57	$129.38
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $481.30 / $481.30 / $481.30	Facility	26	$481.30	$481.30	$481.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $220.85 / $280.92	Professional		$153.77	$220.85	$280.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.74 / $124.20 / $163.05	Professional	26	$88.74	$124.20	$163.05
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $65.03 / $92.67 / $117.89	Professional	TC	$65.03	$92.67	$117.89
United Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $164.80 / $246.59	Professional		$119.48	$164.80	$246.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.30 / $100.32 / $136.81	Professional	26	$71.30	$100.32	$136.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.60 / $79.20 / $109.78	Professional	TC	$54.60	$79.20	$109.78