Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.52 / $150.52 / $150.52	Facility		$150.52	$150.52	$150.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.57 / $20.57 / $20.57	Facility	26	$20.57	$20.57	$20.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $74.13 / $150.52	Professional		$60.06	$74.13	$150.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $18.39 / $21.47	Professional	26	$16.67	$18.39	$21.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.33 / $54.36 / $129.94	Professional	TC	$43.33	$54.36	$129.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $140.08 / $200.02	Professional		$78.34	$140.08	$200.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $25.08 / $43.83	Professional	26	$21.32	$25.08	$43.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.38 / $114.05 / $146.86	Professional	TC	$55.38	$114.05	$146.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $44.20 / $68.12	Professional		$25.10	$44.20	$68.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $595.13 / $867.27	Facility		$437.82	$595.13	$867.27
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 $76.09 / $156.31 / $341.19	Professional		$76.09	$156.31	$341.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $28.24 / $51.37	Professional	26	$20.66	$28.24	$51.37
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $55.34 / $132.54 / $291.22	Professional	TC	$55.34	$132.54	$291.22
United Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $98.64 / $205.70	Professional		$63.92	$98.64	$205.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $21.20 / $30.87	Professional	26	$15.90	$21.20	$30.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.28 / $74.56 / $194.05	Professional	TC	$46.28	$74.56	$194.05