Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.41 / $76.41 / $76.41	Facility	26	$76.41	$76.41	$76.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $394.49 / $556.23	Professional		$175.66	$394.49	$556.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $80.36 / $180.25	Professional	26	$52.46	$80.36	$180.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.70 / $313.81 / $448.49	Professional	TC	$124.70	$313.81	$448.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $348.76 / $529.91	Professional		$175.19	$348.76	$529.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.90 / $75.56 / $125.34	Professional	26	$51.90	$75.56	$125.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.01 / $261.52 / $391.41	Professional	TC	$125.01	$261.52	$391.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $123.13 / $169.13	Professional		$32.57	$123.13	$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 $275.62 / $321.64 / $567.71	Professional		$275.62	$321.64	$567.71
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $91.98 / $147.31	Professional	26	$78.81	$91.98	$147.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $196.80 / $229.66 / $424.95	Professional	TC	$196.80	$229.66	$424.95
United Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $285.68 / $452.87	Professional		$192.95	$285.68	$452.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $59.95 / $111.25	Professional	26	$49.08	$59.95	$111.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $253.27 / $337.68	Professional	TC	$143.87	$253.27	$337.68