Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.75 / $70.75 / $70.75	Facility	26	$70.75	$70.75	$70.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $277.86 / $949.36	Professional		$162.40	$277.86	$949.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $83.46 / $301.00	Professional	26	$58.33	$83.46	$301.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.40 / $207.11 / $292.02	Professional	TC	$97.40	$207.11	$292.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $254.37 / $372.53	Professional		$146.02	$254.37	$372.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $75.20 / $131.84	Professional	26	$54.27	$75.20	$131.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.27 / $169.36 / $275.70	Professional	TC	$87.27	$169.36	$275.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.30	Professional		$32.57	$93.54	$135.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $266.69 / $399.19	Professional		$228.53	$266.69	$399.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $89.23 / $104.13 / $136.68	Professional	26	$89.23	$104.13	$136.68
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $139.29 / $162.56 / $267.33	Professional	TC	$139.29	$162.56	$267.33
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $219.49 / $400.00	Professional		$142.03	$219.49	$400.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.30 / $59.11 / $114.66	Professional	26	$54.30	$59.11	$114.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $144.36 / $300.56	Professional	TC	$86.20	$144.36	$300.56