Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.21 / $2,870.00 / $4,387.00	Facility		$181.21	$2,870.00	$4,387.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.84 / $57.84 / $57.84	Facility	26	$57.84	$57.84	$57.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $181.21 / $265.13	Professional		$134.41	$181.21	$265.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.25 / $57.84 / $168.74	Professional	26	$40.25	$57.84	$168.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $123.37 / $215.33	Professional	TC	$98.17	$123.37	$215.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $268.54 / $399.14	Professional		$142.00	$268.54	$399.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.42 / $59.01 / $85.53	Professional	26	$48.42	$59.01	$85.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.92 / $213.75 / $269.58	Professional	TC	$87.92	$213.75	$269.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $120.71 / $162.63	Professional		$32.34	$120.71	$162.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.99 / $228.22 / $274.14	Professional		$193.99	$228.22	$274.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.91 / $77.44 / $91.11	Professional	26	$50.91	$77.44	$91.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $120.86 / $142.19 / $217.58	Professional	TC	$120.86	$142.19	$217.58
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 $133.69 / $165.96 / $331.91	Professional		$133.69	$165.96	$331.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.28 / $51.03 / $86.06	Professional	26	$38.28	$51.03	$86.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.16 / $134.81 / $255.98	Professional	TC	$93.16	$134.81	$255.98