Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.97 / $121.97 / $121.97	Facility	26	$121.97	$121.97	$121.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $412.86 / $652.23	Professional		$306.00	$412.86	$652.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.09 / $121.97 / $193.74	Professional	26	$84.09	$121.97	$193.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.90 / $290.89 / $492.42	Professional	TC	$221.90	$290.89	$492.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.05 / $414.92 / $815.92	Professional		$322.05	$414.92	$815.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.87 / $121.29 / $181.36	Professional	26	$101.87	$121.29	$181.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.50 / $298.95 / $469.05	Professional	TC	$218.50	$298.95	$469.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $173.36 / $254.26	Professional		$79.48	$173.36	$254.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $484.37 / $484.37 / $484.37	Facility	26	$484.37	$484.37	$484.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.07 / $503.76 / $747.87	Professional		$392.07	$503.76	$747.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $107.92 / $158.03 / $260.07	Professional	26	$107.92	$158.03	$260.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $284.16 / $328.86 / $474.74	Professional	TC	$284.16	$328.86	$474.74
United Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $374.51 / $610.63	Professional		$262.14	$374.51	$610.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.19 / $98.40 / $174.96	Professional	26	$80.19	$98.40	$174.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.80 / $247.92 / $417.60	Professional	TC	$179.80	$247.92	$417.60