Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.87 / $71.87 / $327.88	Facility	26	$71.87	$71.87	$327.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $341.36 / $941.09	Professional		$159.59	$341.36	$941.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $100.80 / $226.85	Professional	26	$51.30	$100.80	$226.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.12 / $269.49 / $379.98	Professional	TC	$107.12	$269.49	$379.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.86 / $285.22 / $432.38	Professional		$147.86	$285.22	$432.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $72.38 / $116.18	Professional	26	$51.58	$72.38	$116.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.28 / $186.88 / $346.78	Professional	TC	$96.28	$186.88	$346.78
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 $231.99 / $270.74 / $486.59	Professional		$231.99	$270.74	$486.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $78.33 / $91.40 / $134.01	Professional	26	$78.33	$91.40	$134.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $153.68 / $179.34 / $352.57	Professional	TC	$153.68	$179.34	$352.57
United Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $239.93 / $372.05	Professional		$144.18	$239.93	$372.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $55.17 / $104.50	Professional	26	$49.08	$55.17	$104.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.10 / $180.47 / $269.04	Professional	TC	$95.10	$180.47	$269.04