Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.06 / $62.06 / $62.06	Facility	26	$62.06	$62.06	$62.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $276.79 / $918.70	Professional		$155.71	$276.79	$918.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.31 / $62.06 / $247.77	Professional	26	$49.31	$62.06	$247.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.23 / $214.73 / $302.76	Professional	TC	$103.23	$214.73	$302.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $254.90 / $377.76	Professional		$144.13	$254.90	$377.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.70 / $66.43 / $116.45	Professional	26	$47.70	$66.43	$116.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.24 / $177.93 / $303.02	Professional	TC	$92.24	$177.93	$303.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.78	Professional		$32.57	$93.54	$135.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.04 / $263.80 / $330.35	Professional		$226.04	$263.80	$330.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $91.98 / $121.02	Professional	26	$78.81	$91.98	$121.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $147.22 / $171.81 / $214.57	Professional	TC	$147.22	$171.81	$214.57
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $217.20 / $372.05	Professional		$140.80	$217.20	$372.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $54.40 / $97.54	Professional	26	$47.65	$54.40	$97.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.72 / $151.97 / $257.14	Professional	TC	$91.72	$151.97	$257.14