Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.16 / $151.16 / $151.16	Facility	26	$151.16	$151.16	$151.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.48 / $411.80 / $827.55	Professional		$403.48	$411.80	$827.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.83 / $151.16 / $241.82	Professional	26	$123.83	$151.16	$241.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.64 / $260.64 / $585.72	Professional	TC	$260.64	$260.64	$585.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.87 / $500.97 / $666.83	Professional		$361.87	$500.97	$666.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.51 / $148.66 / $196.55	Professional	26	$128.51	$148.66	$196.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.64 / $355.54 / $470.29	Professional	TC	$220.64	$355.54	$470.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $201.74 / $316.99	Professional		$79.48	$201.74	$316.99
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,046.08 / $1,046.08 / $1,046.08	Facility	26	$1,046.08	$1,046.08	$1,046.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $477.79 / $597.32 / $658.14	Professional		$477.79	$597.32	$658.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $136.21 / $213.10 / $243.98	Professional	26	$136.21	$213.10	$243.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $341.60 / $379.55 / $414.15	Professional	TC	$341.60	$379.55	$414.15
United Facility/Professional Professional Modifier Low / Median / High Price $306.68 / $356.57 / $711.37	Professional		$306.68	$356.57	$711.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.64 / $123.61 / $221.77	Professional	26	$101.64	$123.61	$221.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.20 / $253.43 / $504.53	Professional	TC	$197.20	$253.43	$504.53