Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.84 / $38.84 / $38.84	Facility	26	$38.84	$38.84	$38.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.28 / $196.14	Professional		$64.31	$98.28	$196.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $34.39 / $38.84	Professional	26	$31.19	$34.39	$38.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $64.03 / $81.61	Professional	TC	$33.03	$64.03	$81.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $113.72 / $287.67	Professional		$73.23	$113.72	$287.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.86 / $47.49 / $81.73	Professional	26	$39.86	$47.49	$81.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.08 / $68.51 / $129.63	Professional	TC	$30.08	$68.51	$129.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $99.85	Professional		$32.34	$65.49	$99.85
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 $114.33 / $134.51 / $213.22	Professional		$114.33	$134.51	$213.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.64 / $52.92 / $74.34	Professional	26	$38.64	$52.92	$74.34
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $70.30 / $82.70 / $104.53	Professional	TC	$70.30	$82.70	$104.53
United Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $98.42 / $146.30	Professional		$64.59	$98.42	$146.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $41.28 / $58.21	Professional	26	$29.70	$41.28	$58.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.28 / $63.22 / $99.11	Professional	TC	$31.28	$63.22	$99.11