Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.10 / $267.14 / $277.56	Facility	26	$97.10	$267.14	$277.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $458.70 / $1,506.92	Professional		$221.56	$458.70	$1,506.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $88.86 / $236.62	Professional	26	$38.79	$88.86	$236.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $361.60 / $1,025.66	Professional	TC	$162.63	$361.60	$1,025.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.26 / $515.54 / $810.31	Professional		$267.26	$515.54	$810.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.79 / $102.38 / $179.48	Professional	26	$73.79	$102.38	$179.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.27 / $361.25 / $694.62	Professional	TC	$187.27	$361.25	$694.62
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 $420.37 / $478.98 / $896.27	Professional		$420.37	$478.98	$896.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $121.46 / $141.72 / $187.33	Professional	26	$121.46	$141.72	$187.33
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $298.92 / $348.84 / $716.49	Professional	TC	$298.92	$348.84	$716.49
United Facility/Professional Professional Modifier Low / Median / High Price $255.84 / $450.00 / $623.58	Professional		$255.84	$450.00	$623.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.40 / $84.32 / $148.80	Professional	26	$73.40	$84.32	$148.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.76 / $253.44 / $474.56	Professional	TC	$179.76	$253.44	$474.56