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 / $807.03	Facility	26	$128.00	$128.00	$807.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.43 / $475.00 / $2,260.39	Professional		$356.43	$475.00	$2,260.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.39 / $180.47 / $538.00	Professional	26	$96.39	$180.47	$538.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.82 / $335.00 / $1,495.64	Professional	TC	$249.82	$335.00	$1,495.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $662.14 / $1,270.31	Professional		$329.33	$662.14	$1,270.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.10 / $125.78 / $220.51	Professional	26	$91.10	$125.78	$220.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.06 / $507.97 / $1,133.81	Professional	TC	$231.06	$507.97	$1,133.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $205.59 / $325.26	Professional		$80.03	$205.59	$325.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $518.03 / $598.02 / $984.64	Professional		$518.03	$598.02	$984.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $149.21 / $174.13 / $229.26	Professional	26	$149.21	$174.13	$229.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $368.82 / $430.40 / $758.42	Professional	TC	$368.82	$430.40	$758.42
United Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $561.28 / $898.94	Professional		$336.21	$561.28	$898.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.54 / $98.42 / $181.80	Professional	26	$88.54	$98.42	$181.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $429.28 / $718.28	Professional	TC	$243.26	$429.28	$718.28