Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.01 / $76.01 / $76.01	Facility	26	$76.01	$76.01	$76.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $334.62 / $1,172.06	Professional		$200.45	$334.62	$1,172.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.53 / $106.70 / $259.00	Professional	26	$61.53	$106.70	$259.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.29 / $258.61 / $760.02	Professional	TC	$117.29	$258.61	$760.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $304.81 / $453.76	Professional		$179.16	$304.81	$453.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.20 / $81.05 / $142.09	Professional	26	$58.20	$81.05	$142.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.84 / $223.46 / $338.42	Professional	TC	$115.84	$223.46	$338.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $114.79 / $164.96	Professional		$53.14	$114.79	$164.96
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 / $477.60	Professional		$281.07	$328.01	$477.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $96.17 / $112.23 / $148.01	Professional	26	$96.17	$112.23	$148.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $184.91 / $215.78 / $335.66	Professional	TC	$184.91	$215.78	$335.66
United Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $283.58 / $410.40	Professional		$174.85	$283.58	$410.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $66.64 / $122.85	Professional	26	$58.34	$66.64	$122.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.72 / $192.14 / $269.27	Professional	TC	$114.72	$192.14	$269.27