Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.29 / $78.29 / $78.29	Facility	26	$78.29	$78.29	$78.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $414.51 / $1,179.25	Professional		$180.54	$414.51	$1,179.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.69 / $78.29 / $134.22	Professional	26	$57.69	$78.29	$134.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.85 / $336.22 / $474.07	Professional	TC	$122.85	$336.22	$474.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.92 / $345.13 / $526.91	Professional		$178.92	$345.13	$526.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.62 / $78.53 / $130.38	Professional	26	$56.62	$78.53	$130.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.81 / $236.42 / $433.98	Professional	TC	$120.81	$236.42	$433.98
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 $281.07 / $328.01 / $581.48	Professional		$281.07	$328.01	$581.48
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.24 / $102.97 / $146.38	Professional	26	$88.24	$102.97	$146.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $192.83 / $225.04 / $435.10	Professional	TC	$192.83	$225.04	$435.10
United Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $292.27 / $468.60	Professional		$175.77	$292.27	$468.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $62.38 / $114.05	Professional	26	$55.22	$62.38	$114.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.55 / $212.75 / $337.97	Professional	TC	$120.55	$212.75	$337.97