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 $216.69 / $403.69 / $1,415.64	Professional		$216.69	$403.69	$1,415.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.11 / $92.32 / $187.33	Professional	26	$70.11	$92.32	$187.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $323.88 / $456.68	Professional	TC	$143.21	$323.88	$456.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $367.68 / $534.30	Professional		$214.79	$367.68	$534.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.40 / $90.01 / $165.59	Professional	26	$68.40	$90.01	$165.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.00 / $271.98 / $424.64	Professional	TC	$141.00	$271.98	$424.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $119.94 / $226.42	Professional		$79.95	$119.94	$226.42
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 $337.09 / $386.76 / $566.10	Professional		$337.09	$386.76	$566.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $112.03 / $130.74 / $154.81	Professional	26	$112.03	$130.74	$154.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $225.05 / $262.64 / $416.84	Professional	TC	$225.05	$262.64	$416.84
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $319.12 / $496.09	Professional		$211.36	$319.12	$496.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.23 / $70.86 / $137.56	Professional	26	$61.23	$70.86	$137.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $241.58 / $393.88	Professional	TC	$140.50	$241.58	$393.88