Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $475.00 / $1,756.08	Professional		$276.56	$475.00	$1,756.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $128.00 / $222.17	Professional	26	$70.56	$128.00	$222.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.98 / $335.00 / $626.24	Professional	TC	$205.98	$335.00	$626.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $449.16 / $685.92	Professional		$256.41	$449.16	$685.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.21 / $86.50 / $151.65	Professional	26	$62.21	$86.50	$151.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.83 / $364.25 / $588.88	Professional	TC	$188.83	$364.25	$588.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $162.83 / $234.41	Professional		$52.98	$162.83	$234.41
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $404.01 / $471.48 / $640.87	Professional		$404.01	$471.48	$640.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $102.62 / $119.75 / $157.04	Professional	26	$102.62	$119.75	$157.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $301.39 / $354.34 / $483.83	Professional	TC	$301.39	$354.34	$483.83
United Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $325.55 / $632.16	Professional		$266.27	$325.55	$632.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.38 / $68.20 / $128.84	Professional	26	$62.38	$68.20	$128.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.85 / $251.31 / $483.99	Professional	TC	$201.85	$251.31	$483.99