Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $1,474.49	Professional		$250.00	$475.00	$1,474.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.47 / $140.00 / $207.13	Professional	26	$64.47	$140.00	$207.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.71 / $305.00 / $565.00	Professional	TC	$175.71	$305.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $480.00 / $718.32	Professional		$219.78	$480.00	$718.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $78.98 / $138.46	Professional	26	$56.72	$78.98	$138.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.08 / $378.10 / $630.05	Professional	TC	$158.08	$378.10	$630.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $150.89 / $202.90	Professional		$32.57	$150.89	$202.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.01 / $403.79 / $714.60	Professional		$346.01	$403.79	$714.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $93.69 / $109.34 / $142.74	Professional	26	$93.69	$109.34	$142.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $252.32 / $294.45 / $571.90	Professional	TC	$252.32	$294.45	$571.90
United Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $395.21 / $637.50	Professional		$225.17	$395.21	$637.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.18 / $68.56 / $119.71	Professional	26	$57.18	$68.56	$119.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.88 / $263.29 / $467.85	Professional	TC	$166.88	$263.29	$467.85