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 / $1,392.33	Professional		$250.00	$475.00	$1,392.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.92 / $128.00 / $309.00	Professional	26	$50.92	$128.00	$309.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.37 / $305.00 / $565.00	Professional	TC	$172.37	$305.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $513.86 / $758.26	Professional		$209.51	$513.86	$758.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $70.20 / $123.08	Professional	26	$50.70	$70.20	$123.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.66 / $413.58 / $679.83	Professional	TC	$154.66	$413.58	$679.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $152.18 / $219.89	Professional		$32.57	$152.18	$219.89
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 $330.15 / $385.28 / $784.55	Professional		$330.15	$385.28	$784.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.28 / $97.19 / $127.59	Professional	26	$83.28	$97.19	$127.59
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $246.87 / $288.08 / $658.99	Professional	TC	$246.87	$288.08	$658.99
United Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $397.07 / $650.00	Professional		$212.59	$397.07	$650.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.33 / $58.14 / $104.91	Professional	26	$50.33	$58.14	$104.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.13 / $296.57 / $503.18	Professional	TC	$160.13	$296.57	$503.18