Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.00 / $2,910.00 / $4,387.00	Facility		$447.00	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.25 / $178.25 / $178.25	Facility	26	$178.25	$178.25	$178.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $447.00 / $882.72	Professional		$341.43	$447.00	$882.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.99 / $178.25 / $287.37	Professional	26	$118.99	$178.25	$287.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $268.74 / $595.35	Professional	TC	$214.11	$268.74	$595.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.64 / $534.20 / $700.30	Professional		$389.64	$534.20	$700.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $152.72 / $173.89 / $232.41	Professional	26	$152.72	$173.89	$232.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.56 / $361.38 / $467.89	Professional	TC	$224.56	$361.38	$467.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $201.74 / $348.41	Professional		$106.98	$201.74	$348.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $951.73 / $1,295.21 / $1,887.49	Facility		$951.73	$1,295.21	$1,887.49
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 $500.86 / $653.84 / $717.35	Professional		$500.86	$653.84	$717.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $161.01 / $250.77 / $287.10	Professional	26	$161.01	$250.77	$287.10
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $339.85 / $395.16 / $430.25	Professional	TC	$339.85	$395.16	$430.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.52 / $399.31 / $768.24	Professional		$332.52	$399.31	$768.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.78 / $146.00 / $263.52	Professional	26	$120.78	$146.00	$263.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.29 / $258.95 / $504.72	Professional	TC	$203.29	$258.95	$504.72