Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.06 / $53.06 / $53.06	Facility	26	$53.06	$53.06	$53.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $140.96 / $164.67	Professional		$113.86	$140.96	$164.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $44.02 / $74.81	Professional	26	$40.51	$44.02	$74.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.56 / $93.95 / $111.61	Professional	TC	$72.56	$93.95	$111.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $199.92 / $273.27	Professional		$135.60	$199.92	$273.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.85 / $63.86 / $96.64	Professional	26	$51.85	$63.86	$96.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.60 / $130.91 / $193.95	Professional	TC	$86.60	$130.91	$193.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.28 / $133.69	Professional		$32.34	$67.28	$133.69
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 $140.00 / $266.24 / $372.36	Professional		$140.00	$266.24	$372.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.11 / $70.73 / $96.45	Professional	26	$50.11	$70.73	$96.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $89.88 / $199.08 / $283.14	Professional	TC	$89.88	$199.08	$283.14
United Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $160.16 / $255.09	Professional		$109.20	$160.16	$255.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.61 / $57.13 / $78.75	Professional	26	$40.61	$57.13	$78.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $102.52 / $171.72	Professional	TC	$67.56	$102.52	$171.72