Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.12 / $623.34 / $2,236.66	Facility		$229.12	$623.34	$2,236.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.41 / $108.41 / $108.41	Facility	26	$108.41	$108.41	$108.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $110.00 / $276.79	Professional		$51.36	$110.00	$276.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $74.81 / $108.41	Professional	26	$34.40	$74.81	$108.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $60.00 / $168.38	Professional	TC	$25.15	$60.00	$168.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $236.85 / $333.60	Professional		$81.53	$236.85	$333.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.88 / $99.82 / $156.22	Professional	26	$47.88	$99.82	$156.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $137.02 / $231.82	Professional	TC	$33.65	$137.02	$231.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $38.52 / $71.48	Professional		$25.04	$38.52	$71.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.97 / $296.17 / $431.61	Facility		$230.97	$296.17	$431.61
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 $83.99 / $315.35 / $394.36	Professional		$83.99	$315.35	$394.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.43 / $133.63 / $167.11	Professional	26	$47.43	$133.63	$167.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.54 / $181.72 / $227.25	Professional	TC	$36.54	$181.72	$227.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $96.00 / $294.79	Professional		$65.28	$96.00	$294.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $56.77 / $118.09	Professional	26	$34.10	$56.77	$118.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $41.82 / $189.86	Professional	TC	$25.42	$41.82	$189.86