Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.81 / $66.81 / $66.81	Facility	26	$66.81	$66.81	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $128.88 / $192.13	Professional		$79.81	$128.88	$192.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $66.81 / $105.55	Professional	26	$43.40	$66.81	$105.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $120.17 / $242.08	Professional		$101.94	$120.17	$242.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.33 / $65.94 / $130.31	Professional	26	$55.33	$65.94	$130.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $38.81 / $101.24	Professional		$24.84	$38.81	$101.24
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $495.90 / $495.90 / $495.90	Facility	26	$495.90	$495.90	$495.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $196.14 / $330.55	Professional		$143.36	$196.14	$330.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.83 / $112.05 / $177.98	Professional	26	$75.83	$112.05	$177.98
United Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $91.00 / $166.32	Professional		$76.23	$91.00	$166.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.57 / $47.95 / $98.68	Professional	26	$38.57	$47.95	$98.68