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 $233.74 / $475.00 / $716.42	Professional		$233.74	$475.00	$716.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $128.00 / $322.00	Professional	26	$57.33	$128.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.41 / $305.00 / $565.00	Professional	TC	$176.41	$305.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.38 / $503.64 / $757.28	Professional		$220.38	$503.64	$757.28
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 $165.53 / $422.01 / $678.36	Professional	TC	$165.53	$422.01	$678.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $160.32 / $237.48	Professional		$32.57	$160.32	$237.48
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 $347.50 / $405.53 / $770.07	Professional		$347.50	$405.53	$770.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.28 / $97.19 / $127.78	Professional	26	$83.28	$97.19	$127.78
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $264.22 / $308.33 / $646.14	Professional	TC	$264.22	$308.33	$646.14
United Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $390.12 / $670.54	Professional		$221.18	$390.12	$670.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.33 / $57.80 / $104.30	Professional	26	$50.33	$57.80	$104.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.03 / $298.29 / $509.57	Professional	TC	$169.03	$298.29	$509.57