Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.43 / $55.43 / $55.43	Facility	26	$55.43	$55.43	$55.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $98.85 / $113.46	Professional		$89.17	$98.85	$113.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $53.95 / $61.56	Professional	TC	$45.27	$53.95	$61.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $128.80 / $202.72	Professional		$104.62	$128.80	$202.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.79 / $64.95 / $103.71	Professional	TC	$49.79	$64.95	$103.71
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 $203.75 / $203.75 / $203.75	Facility	26	$203.75	$203.75	$203.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $150.71 / $206.83	Professional		$108.63	$150.71	$206.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $57.00 / $75.44 / $102.64	Professional	TC	$57.00	$75.44	$102.64
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $115.34 / $165.55	Professional		$80.91	$115.34	$165.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $58.74 / $85.09	Professional	TC	$40.01	$58.74	$85.09