Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.81 / $147.81 / $147.81	Facility	26	$147.81	$147.81	$147.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $407.55 / $549.59	Professional		$300.04	$407.55	$549.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.04 / $147.81 / $453.95	Professional	26	$105.04	$147.81	$453.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.02 / $150.02 / $150.02	Professional	52	$150.02	$150.02	$150.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $259.74 / $412.08	Professional	TC	$206.93	$259.74	$412.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.32 / $504.68 / $770.86	Professional		$361.32	$504.68	$770.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.08 / $147.12 / $223.08	Professional	26	$126.08	$147.12	$223.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.95 / $388.24 / $547.78	Professional	TC	$221.95	$388.24	$547.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $202.66 / $323.46	Professional		$79.48	$202.66	$323.46
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 $474.75 / $601.60 / $677.04	Professional		$474.75	$601.60	$677.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $132.72 / $206.75 / $236.69	Professional	26	$132.72	$206.75	$236.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $342.03 / $388.36 / $422.21	Professional	TC	$342.03	$388.36	$422.21
United Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $360.90 / $720.01	Professional		$303.62	$360.90	$720.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.66 / $125.40 / $217.44	Professional	26	$99.66	$125.40	$217.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.18 / $251.28 / $502.57	Professional	TC	$196.18	$251.28	$502.57