Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.37 / $70.37 / $70.37	Facility	26	$70.37	$70.37	$70.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $334.78 / $1,077.33	Professional		$171.00	$334.78	$1,077.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.77 / $81.48 / $279.51	Professional	26	$56.77	$81.48	$279.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $264.41 / $372.81	Professional	TC	$119.70	$264.41	$372.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $306.87 / $458.05	Professional		$168.67	$306.87	$458.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.68 / $74.77 / $131.09	Professional	26	$53.68	$74.77	$131.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.25 / $212.67 / $374.50	Professional	TC	$110.25	$212.67	$374.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $100.92 / $169.13	Professional		$32.57	$100.92	$169.13
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 $264.72 / $308.92 / $396.42	Professional		$264.72	$308.92	$396.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.73 / $103.55 / $135.91	Professional	26	$88.73	$103.55	$135.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $175.98 / $205.37 / $265.32	Professional	TC	$175.98	$205.37	$265.32
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $219.01 / $387.36	Professional		$165.04	$219.01	$387.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $58.46 / $110.43	Professional	26	$52.66	$58.46	$110.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $166.35 / $290.70	Professional	TC	$109.82	$166.35	$290.70