Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.80 / $79.80 / $79.80	Facility	26	$79.80	$79.80	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $436.69 / $1,373.45	Professional		$206.45	$436.69	$1,373.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.69 / $79.80 / $171.54	Professional	26	$57.69	$79.80	$171.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.76 / $334.26 / $503.21	Professional	TC	$148.76	$334.26	$503.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $394.26 / $577.97	Professional		$204.38	$394.26	$577.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.72 / $80.56 / $135.63	Professional	26	$57.72	$80.56	$135.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.28 / $297.12 / $458.56	Professional	TC	$146.28	$297.12	$458.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $150.89 / $202.48	Professional		$32.57	$150.89	$202.48
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 $321.72 / $369.43 / $626.96	Professional		$321.72	$369.43	$626.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.24 / $102.97 / $154.75	Professional	26	$88.24	$102.97	$154.75
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $233.49 / $272.47 / $477.71	Professional	TC	$233.49	$272.47	$477.71
United Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $333.45 / $501.83	Professional		$213.81	$333.45	$501.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $62.85 / $116.30	Professional	26	$54.91	$62.85	$116.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.90 / $242.46 / $372.95	Professional	TC	$158.90	$242.46	$372.95