Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.10 / $472.34 / $528.88	Facility	26	$97.10	$472.34	$528.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.94 / $458.70 / $1,506.92	Professional		$241.94	$458.70	$1,506.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $92.00 / $227.69	Professional	26	$38.79	$92.00	$227.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $361.60 / $646.40	Professional	TC	$162.63	$361.60	$646.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.57 / $516.14 / $806.87	Professional		$267.57	$516.14	$806.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.05 / $108.77 / $212.68	Professional	26	$77.05	$108.77	$212.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.58 / $361.85 / $691.67	Professional	TC	$187.58	$361.85	$691.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $258.77	Professional		$80.09	$147.66	$258.77
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 $420.87 / $479.54 / $863.79	Professional		$420.87	$479.54	$863.79
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $121.46 / $141.72 / $188.03	Professional	26	$121.46	$141.72	$188.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $299.41 / $349.41 / $683.33	Professional	TC	$299.41	$349.41	$683.33
United Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $364.32 / $718.10	Professional		$256.14	$364.32	$718.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.51 / $77.11 / $148.80	Professional	26	$74.51	$77.11	$148.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.07 / $317.77 / $527.05	Professional	TC	$180.07	$317.77	$527.05