Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.88 / $51.88 / $51.88	Facility	26	$51.88	$51.88	$51.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $82.58 / $96.14	Professional		$76.78	$82.58	$96.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $43.79 / $92.14	Professional	26	$40.51	$43.79	$92.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.35 / $40.00 / $49.84	Professional	TC	$33.35	$40.00	$49.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $110.64 / $182.77	Professional		$93.58	$110.64	$182.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.48 / $62.65 / $95.10	Professional	26	$51.48	$62.65	$95.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.17 / $50.42 / $83.82	Professional	TC	$36.17	$50.42	$83.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $37.72 / $98.49	Professional		$24.96	$37.72	$98.49
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 $100.60 / $131.88 / $178.08	Professional		$100.60	$131.88	$178.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $49.73 / $69.66 / $95.08	Professional	26	$49.73	$69.66	$95.08
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $49.96 / $62.60 / $83.01	Professional	TC	$49.96	$62.60	$83.01
United Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $106.92 / $148.19	Professional		$71.59	$106.92	$148.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $58.06 / $76.56	Professional	26	$38.70	$58.06	$76.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $45.60 / $66.55	Professional	TC	$30.47	$45.60	$66.55