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 $253.53 / $475.00 / $1,594.30	Professional		$253.53	$475.00	$1,594.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $128.00 / $322.00	Professional	26	$69.84	$128.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.61 / $309.91 / $565.00	Professional	TC	$181.61	$309.91	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.06 / $536.45 / $790.50	Professional		$239.06	$536.45	$790.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.75 / $78.92 / $150.41	Professional	26	$60.75	$78.92	$150.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.19 / $433.73 / $700.97	Professional	TC	$170.19	$433.73	$700.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $269.57	Professional		$80.09	$147.66	$269.57
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 $376.25 / $439.08 / $823.39	Professional		$376.25	$439.08	$823.39
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $104.60 / $120.85 / $134.01	Professional	26	$104.60	$120.85	$134.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $271.66 / $317.02 / $697.53	Professional	TC	$271.66	$317.02	$697.53
United Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $419.00 / $665.63	Professional		$237.43	$419.00	$665.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $69.19 / $126.84	Professional	26	$50.83	$69.19	$126.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.09 / $326.57 / $867.00	Professional	TC	$172.09	$326.57	$867.00