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 / $323.89	Facility	26	$128.00	$128.00	$323.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.47 / $475.00 / $679.81	Professional		$227.47	$475.00	$679.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.85 / $140.00 / $338.90	Professional	26	$54.85	$140.00	$338.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.00 / $306.33 / $565.00	Professional	TC	$172.00	$306.33	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $512.11 / $760.22	Professional		$209.20	$512.11	$760.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.42 / $70.20 / $123.08	Professional	26	$50.42	$70.20	$123.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.35 / $413.58 / $681.30	Professional	TC	$154.35	$413.58	$681.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $150.89 / $203.71	Professional		$32.57	$150.89	$203.71
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 $329.65 / $384.70 / $781.92	Professional		$329.65	$384.70	$781.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.28 / $97.19 / $128.46	Professional	26	$83.28	$97.19	$128.46
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $246.38 / $287.51 / $656.96	Professional	TC	$246.38	$287.51	$656.96
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $396.49 / $670.55	Professional		$211.67	$396.49	$670.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $61.35 / $102.00	Professional	26	$50.83	$61.35	$102.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $302.72 / $458.83	Professional	TC	$159.52	$302.72	$458.83